| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,746 |
4,370 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,565 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,526 |
1,503 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
758 |
743 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,992 |
2,961 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
292 |
274 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
847 |
815 |
$22K |
| 90670 |
|
999 |
993 |
$19K |
| 90680 |
|
853 |
848 |
$16K |
| 90698 |
|
617 |
615 |
$12K |
| 90686 |
|
505 |
496 |
$9K |
| 90744 |
|
313 |
311 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
100 |
$6K |
| 90671 |
|
284 |
280 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
343 |
162 |
$3K |
| 87428 |
|
43 |
40 |
$2K |
| 90697 |
|
95 |
94 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
95 |
$2K |
| 90633 |
|
78 |
77 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
39 |
$1K |
| 76801 |
|
26 |
25 |
$1K |
| 87400 |
|
265 |
133 |
$1K |
| 87807 |
|
126 |
120 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
28 |
$1K |
| 90715 |
|
24 |
24 |
$780.01 |
| 99173 |
|
42 |
39 |
$190.00 |
| 92551 |
|
29 |
27 |
$125.00 |
| 81025 |
|
14 |
14 |
$42.00 |