| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,644 |
3,007 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,159 |
3,263 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,635 |
1,412 |
$89K |
| 99441 |
|
1,182 |
933 |
$29K |
| 99442 |
|
603 |
465 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,187 |
1,117 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
107 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
936 |
858 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,432 |
1,291 |
$6K |
| 83655 |
|
684 |
603 |
$6K |
| 3008F |
|
803 |
758 |
$5K |
| 99051 |
|
1,572 |
1,284 |
$5K |
| 99215 |
Prolong outpt/office vis |
40 |
36 |
$4K |
| 99173 |
|
1,121 |
1,035 |
$1K |
| 87400 |
|
125 |
117 |
$688.69 |
| 81002 |
|
558 |
505 |
$656.61 |
| 99050 |
|
26 |
24 |
$635.00 |
| 96127 |
|
336 |
275 |
$633.24 |
| 96160 |
|
373 |
322 |
$465.45 |
| 90461 |
|
15 |
15 |
$456.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
17 |
$388.20 |
| 90686 |
|
27 |
26 |
$387.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$332.07 |
| 99080 |
|
726 |
629 |
$331.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$252.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$238.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$235.75 |
| 81000 |
|
89 |
83 |
$185.12 |
| 97803 |
|
455 |
421 |
$94.27 |