| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,521 |
5,036 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
2,006 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,476 |
1,418 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,261 |
1,233 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,163 |
1,112 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,748 |
1,677 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
767 |
745 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,632 |
3,029 |
$46K |
| 90837 |
Psychotherapy, 53 minutes with patient |
338 |
248 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
339 |
$25K |
| 99215 |
Prolong outpt/office vis |
206 |
199 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,365 |
2,208 |
$23K |
| 99383 |
|
234 |
227 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,116 |
974 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
364 |
350 |
$9K |
| 96127 |
|
2,986 |
2,576 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
762 |
713 |
$7K |
| 92551 |
|
764 |
754 |
$4K |
| 96160 |
|
2,292 |
1,865 |
$4K |
| 99382 |
|
44 |
44 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
258 |
251 |
$3K |
| 0071A |
|
78 |
76 |
$3K |
| 99384 |
|
28 |
28 |
$3K |
| 99381 |
|
29 |
28 |
$2K |
| 96161 |
|
1,418 |
1,353 |
$2K |
| 0011A |
|
55 |
55 |
$2K |
| 0001A |
|
60 |
59 |
$2K |
| 99441 |
|
111 |
111 |
$2K |
| 80305 |
|
183 |
135 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 0012A |
|
41 |
41 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| D0190 |
|
96 |
95 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
36 |
$1K |
| 83655 |
|
115 |
108 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$976.17 |
| 99442 |
|
35 |
33 |
$950.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
68 |
$933.31 |
| 36415 |
Collection of venous blood by venipuncture |
360 |
329 |
$850.22 |
| 99188 |
|
101 |
100 |
$713.66 |
| 99401 |
|
28 |
28 |
$627.95 |
| 81002 |
|
191 |
182 |
$506.38 |
| 90651 |
|
274 |
261 |
$458.68 |
| 90670 |
|
383 |
375 |
$441.38 |
| 81025 |
|
59 |
58 |
$346.56 |
| 90677 |
|
55 |
53 |
$312.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
44 |
$268.84 |
| 81003 |
|
162 |
159 |
$268.08 |
| 90715 |
|
166 |
158 |
$178.76 |
| 90619 |
|
35 |
31 |
$151.15 |
| 85018 |
|
44 |
43 |
$84.24 |
| 90686 |
|
374 |
366 |
$60.50 |
| G9007 |
Coordinated care fee, scheduled team conference |
42 |
37 |
$41.19 |
| 36416 |
|
107 |
94 |
$35.25 |
| 1160F |
|
2,699 |
2,505 |
$0.00 |
| 90648 |
|
45 |
45 |
$0.00 |
| 3078F |
|
1,953 |
1,876 |
$0.00 |
| 99173 |
|
290 |
279 |
$0.00 |
| 3077F |
|
62 |
57 |
$0.00 |
| 90633 |
|
204 |
202 |
$0.00 |
| 3455F |
|
711 |
708 |
$0.00 |
| 90658 |
|
62 |
62 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90734 |
|
188 |
184 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| 90710 |
|
61 |
60 |
$0.00 |
| 90461 |
|
17 |
15 |
$0.00 |
| 90707 |
|
53 |
50 |
$0.00 |
| 3075F |
|
114 |
110 |
$0.00 |
| 3008F |
|
3,430 |
3,145 |
$0.00 |
| 90697 |
|
71 |
70 |
$0.00 |
| 3074F |
|
2,111 |
2,026 |
$0.00 |
| 3079F |
|
364 |
351 |
$0.00 |
| 91301 |
|
59 |
59 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90716 |
|
53 |
51 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
24 |
19 |
$0.00 |
| 91307 |
|
56 |
54 |
$0.00 |
| 3080F |
|
27 |
25 |
$0.00 |