| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,424 |
9,130 |
$566K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,359 |
3,603 |
$325K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,717 |
1,564 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,505 |
1,412 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
959 |
810 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,464 |
1,660 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
904 |
773 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,827 |
1,569 |
$23K |
| 90651 |
|
653 |
560 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
235 |
$19K |
| 90686 |
|
1,238 |
1,131 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
291 |
214 |
$9K |
| 90734 |
|
559 |
467 |
$9K |
| 90670 |
|
455 |
349 |
$6K |
| 90620 |
|
292 |
236 |
$6K |
| 83655 |
|
413 |
335 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,160 |
1,061 |
$5K |
| 87428 |
|
71 |
71 |
$4K |
| 0072A |
|
102 |
102 |
$4K |
| 0071A |
|
98 |
96 |
$4K |
| 0001A |
|
82 |
82 |
$3K |
| 90715 |
|
206 |
150 |
$3K |
| 0002A |
|
56 |
56 |
$2K |
| 90716 |
|
126 |
96 |
$2K |
| 90707 |
|
176 |
138 |
$2K |
| 96127 |
|
128 |
120 |
$2K |
| 90633 |
|
152 |
117 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$2K |
| 90688 |
|
202 |
179 |
$1K |
| 85018 |
|
600 |
505 |
$1K |
| 90677 |
|
18 |
17 |
$1K |
| 90648 |
|
147 |
117 |
$1K |
| 0003A |
|
20 |
20 |
$842.80 |
| 90698 |
|
64 |
42 |
$771.81 |
| 86580 |
|
164 |
131 |
$688.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$668.78 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$640.00 |
| 90700 |
|
70 |
54 |
$528.80 |
| 90696 |
|
28 |
24 |
$377.95 |
| 90710 |
|
14 |
14 |
$233.94 |
| 90744 |
|
17 |
12 |
$108.80 |
| 91307 |
|
98 |
88 |
$25.14 |
| 91300 |
|
45 |
43 |
$12.72 |
| 90668 |
|
20 |
20 |
$0.00 |