| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,185 |
15,280 |
$864K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,716 |
7,115 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,304 |
3,728 |
$310K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,116 |
2,830 |
$238K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,066 |
2,687 |
$230K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,429 |
6,383 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,526 |
2,122 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,627 |
1,269 |
$126K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,049 |
6,230 |
$83K |
| 92552 |
|
4,397 |
3,611 |
$79K |
| 96127 |
|
9,192 |
5,493 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,427 |
4,445 |
$44K |
| 90677 |
|
414 |
339 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,916 |
1,485 |
$29K |
| 96161 |
|
2,389 |
1,896 |
$18K |
| 87400 |
|
2,163 |
1,925 |
$17K |
| 99173 |
|
3,409 |
2,820 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
709 |
653 |
$10K |
| 96160 |
|
2,261 |
1,763 |
$9K |
| 90619 |
|
347 |
232 |
$9K |
| 3008F |
|
7,490 |
6,338 |
$7K |
| 36416 |
|
5,067 |
4,110 |
$7K |
| 99381 |
|
115 |
64 |
$7K |
| 0071A |
|
70 |
59 |
$2K |
| 0002A |
|
64 |
58 |
$2K |
| 90688 |
|
2,511 |
2,085 |
$2K |
| 90651 |
|
792 |
554 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
13 |
$2K |
| 0001A |
|
49 |
41 |
$2K |
| 0072A |
|
33 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$966.72 |
| 81002 |
|
335 |
272 |
$792.69 |
| 90734 |
|
295 |
220 |
$637.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$352.63 |
| 90716 |
|
950 |
819 |
$315.08 |
| 90670 |
|
1,793 |
1,517 |
$249.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
71 |
$202.35 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
77 |
$200.03 |
| 90707 |
|
943 |
814 |
$190.01 |
| 90697 |
|
858 |
654 |
$162.38 |
| 90715 |
|
169 |
113 |
$53.12 |
| 90633 |
|
980 |
830 |
$42.42 |
| 90700 |
|
899 |
779 |
$31.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
459 |
437 |
$20.39 |
| 90687 |
|
659 |
566 |
$11.29 |
| 90680 |
|
1,339 |
1,133 |
$0.00 |
| 90698 |
|
740 |
679 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,114 |
972 |
$0.00 |
| 90744 |
|
398 |
357 |
$0.00 |
| 91307 |
|
137 |
116 |
$0.00 |
| 90686 |
|
174 |
158 |
$0.00 |
| 90674 |
|
57 |
48 |
$0.00 |
| 90656 |
|
107 |
101 |
$0.00 |
| 91300 |
|
181 |
139 |
$0.00 |
| 99080 |
|
6,640 |
5,164 |
$0.00 |
| 90713 |
|
153 |
130 |
$0.00 |
| 91308 |
|
42 |
29 |
$0.00 |
| 90461 |
|
16 |
15 |
$0.00 |
| 90648 |
|
25 |
24 |
$0.00 |