| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,260 |
20,686 |
$1.27M |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,179 |
12,285 |
$788K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,245 |
2,966 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,183 |
1,163 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,064 |
1,036 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
648 |
634 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
139 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
804 |
390 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
179 |
$7K |
| 90670 |
|
547 |
535 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,518 |
1,406 |
$4K |
| 90686 |
|
345 |
341 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
178 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
32 |
29 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 90680 |
|
112 |
107 |
$1K |
| 90698 |
|
91 |
91 |
$697.96 |
| 92551 |
|
115 |
100 |
$559.20 |
| 81003 |
|
295 |
223 |
$548.06 |
| 90697 |
|
33 |
28 |
$521.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
234 |
$425.56 |
| 90715 |
|
25 |
24 |
$379.29 |
| 99173 |
|
546 |
533 |
$332.34 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$300.00 |
| 90744 |
|
39 |
39 |
$266.79 |
| 90633 |
|
27 |
26 |
$248.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$217.84 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
45 |
$160.28 |
| 90651 |
|
12 |
12 |
$146.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$140.92 |
| 90710 |
|
13 |
13 |
$124.02 |
| 81025 |
|
14 |
12 |
$87.09 |
| 81002 |
|
117 |
105 |
$86.85 |
| 90656 |
|
12 |
12 |
$35.45 |
| 90671 |
|
29 |
28 |
$32.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
110 |
$25.64 |
| 0502F |
|
189 |
122 |
$0.00 |
| 99172 |
|
519 |
513 |
$0.00 |
| V5008 |
Hearing screening |
970 |
958 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
13 |
13 |
$0.00 |