| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,510 |
3,183 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,502 |
1,344 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,439 |
1,296 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,195 |
1,049 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,131 |
1,930 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,363 |
3,048 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
319 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,776 |
1,592 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,747 |
1,595 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
531 |
381 |
$6K |
| 92587 |
|
181 |
159 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
157 |
$5K |
| 99429 |
|
213 |
140 |
$3K |
| 90474 |
|
270 |
232 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
69 |
67 |
$3K |
| 96161 |
|
680 |
587 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 96160 |
|
373 |
323 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,243 |
2,057 |
$1K |
| 36416 |
|
1,805 |
1,637 |
$975.06 |
| 99188 |
|
49 |
43 |
$782.77 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$598.79 |
| 96127 |
|
112 |
106 |
$479.58 |
| 99173 |
|
171 |
156 |
$401.52 |
| 82947 |
|
31 |
28 |
$137.12 |
| 82465 |
|
31 |
28 |
$126.27 |
| 90647 |
|
242 |
203 |
$0.00 |
| 90686 |
|
492 |
447 |
$0.00 |
| 90680 |
|
274 |
229 |
$0.00 |
| 90723 |
|
321 |
269 |
$0.00 |
| 90670 |
|
638 |
520 |
$0.00 |
| 90633 |
|
44 |
43 |
$0.00 |
| 5250F |
|
13 |
12 |
$0.00 |
| 90710 |
|
29 |
28 |
$0.00 |
| 90685 |
|
15 |
13 |
$0.00 |