| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,750 |
35,956 |
$5.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,732 |
9,975 |
$1.46M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,227 |
4,201 |
$565K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,632 |
3,596 |
$480K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,730 |
8,610 |
$389K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,455 |
2,415 |
$294K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,732 |
1,720 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,752 |
1,730 |
$228K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,498 |
1,017 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
837 |
802 |
$111K |
| 87428 |
|
1,443 |
1,427 |
$88K |
| 99215 |
Prolong outpt/office vis |
291 |
264 |
$38K |
| 97802 |
|
1,165 |
1,161 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
44 |
41 |
$8K |
| 90461 |
|
1,386 |
1,352 |
$7K |
| G9153 |
Mapcp demonstration - physician incentive pool |
358 |
348 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
179 |
172 |
$6K |
| 99406 |
|
887 |
830 |
$4K |
| 90630 |
|
258 |
256 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
116 |
$3K |
| 90671 |
|
480 |
480 |
$3K |
| 90651 |
|
151 |
145 |
$3K |
| 0071A |
|
79 |
74 |
$3K |
| 81003 |
|
4,232 |
4,147 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,407 |
1,368 |
$2K |
| 90670 |
|
690 |
684 |
$2K |
| 99188 |
|
275 |
272 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
957 |
863 |
$2K |
| 87807 |
|
337 |
325 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
103 |
87 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
81 |
$900.02 |
| 90723 |
|
271 |
266 |
$849.97 |
| 90686 |
|
387 |
380 |
$523.86 |
| 87430 |
|
185 |
182 |
$317.01 |
| 90715 |
|
13 |
12 |
$273.28 |
| 90672 |
|
132 |
129 |
$225.80 |
| 74018 |
|
15 |
14 |
$200.60 |
| 85018 |
|
166 |
163 |
$176.82 |
| 83655 |
|
57 |
57 |
$153.36 |
| 99177 |
|
17 |
17 |
$152.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
77 |
$117.25 |
| 90647 |
|
238 |
236 |
$51.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
24 |
$28.44 |
| 90473 |
|
28 |
28 |
$7.44 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 99173 |
|
148 |
147 |
$0.00 |
| 90633 |
|
107 |
106 |
$0.00 |
| 81025 |
|
57 |
57 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90734 |
|
29 |
28 |
$0.00 |