| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,189 |
8,547 |
$608K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,440 |
5,133 |
$464K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
207 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
175 |
175 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
760 |
759 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
130 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
297 |
297 |
$9K |
| 99442 |
|
102 |
98 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
145 |
$7K |
| 99443 |
|
62 |
62 |
$6K |
| 99215 |
Prolong outpt/office vis |
61 |
58 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
160 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
108 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
149 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
16 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
32 |
32 |
$981.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
52 |
$933.54 |
| 99457 |
|
51 |
51 |
$735.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$731.10 |
| 99454 |
|
51 |
51 |
$658.62 |
| 36415 |
Collection of venous blood by venipuncture |
176 |
175 |
$596.91 |
| 92015 |
Determination of refractive state |
33 |
33 |
$595.32 |
| 99490 |
Ccm add 20min |
69 |
69 |
$548.71 |
| V2020 |
Frames, purchases |
30 |
30 |
$300.00 |
| 90686 |
|
122 |
122 |
$180.76 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$112.68 |
| 99307 |
|
27 |
27 |
$88.56 |
| 96160 |
|
96 |
96 |
$7.61 |
| 90651 |
|
30 |
30 |
$0.00 |
| 2010F |
|
49 |
48 |
$0.00 |
| 3074F |
|
625 |
587 |
$0.00 |
| 2001F |
|
48 |
47 |
$0.00 |
| 3075F |
|
82 |
73 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$0.00 |
| 3079F |
|
69 |
65 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 3078F |
|
742 |
685 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 3077F |
|
43 |
38 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |