| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,191 |
4,147 |
$371K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,693 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,017 |
880 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
768 |
683 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
637 |
478 |
$36K |
| 92552 |
|
863 |
720 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,290 |
1,965 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,263 |
1,085 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
109 |
$10K |
| 90670 |
|
447 |
387 |
$9K |
| 90686 |
|
848 |
673 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
569 |
318 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
119 |
$5K |
| 99177 |
|
1,743 |
1,526 |
$5K |
| 92567 |
|
386 |
365 |
$5K |
| 96127 |
|
1,090 |
837 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
104 |
$3K |
| 96160 |
|
2,124 |
1,707 |
$3K |
| 87428 |
|
72 |
69 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,049 |
1,862 |
$3K |
| 0071A |
|
62 |
54 |
$2K |
| 90633 |
|
157 |
139 |
$2K |
| 0072A |
|
46 |
43 |
$2K |
| 90688 |
|
158 |
151 |
$2K |
| 90461 |
|
1,081 |
822 |
$2K |
| 90698 |
|
145 |
120 |
$2K |
| 90710 |
|
29 |
26 |
$2K |
| 90685 |
|
171 |
128 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| 90680 |
|
105 |
84 |
$1K |
| 90651 |
|
26 |
26 |
$970.87 |
| 99000 |
|
318 |
293 |
$660.98 |
| 94010 |
|
29 |
26 |
$660.70 |
| 0004A |
|
13 |
13 |
$480.00 |
| 90744 |
|
68 |
45 |
$468.35 |
| 36415 |
Collection of venous blood by venipuncture |
361 |
311 |
$455.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
12 |
$411.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$403.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
25 |
$340.90 |
| 96161 |
|
131 |
106 |
$218.71 |
| 36416 |
|
1,749 |
1,417 |
$170.37 |
| 99051 |
|
63 |
55 |
$111.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
110 |
$70.30 |
| 91300 |
|
58 |
56 |
$0.13 |
| 91307 |
|
131 |
112 |
$0.05 |