| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,061 |
17,302 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,162 |
12,331 |
$650K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
560 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
915 |
817 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,709 |
4,249 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
391 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,669 |
1,479 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
281 |
266 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
6,430 |
5,796 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
259 |
239 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
288 |
226 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
128 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
208 |
193 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
506 |
357 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
598 |
529 |
$2K |
| 90682 |
|
52 |
42 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
30 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
13 |
$1K |
| 99381 |
|
17 |
15 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90474 |
|
82 |
73 |
$1K |
| 90686 |
|
700 |
631 |
$675.86 |
| 99177 |
|
165 |
147 |
$542.04 |
| 83655 |
|
43 |
42 |
$513.74 |
| 59025 |
Fetal non-stress test |
35 |
26 |
$501.90 |
| 90670 |
|
305 |
278 |
$409.24 |
| 81003 |
|
590 |
432 |
$216.93 |
| 85018 |
|
82 |
80 |
$188.73 |
| 90688 |
|
86 |
84 |
$148.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
33 |
$90.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
12 |
$75.58 |
| 84460 |
|
29 |
29 |
$56.68 |
| 82565 |
|
34 |
33 |
$54.77 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$38.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
96 |
$17.61 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
41 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 90656 |
|
52 |
52 |
$0.00 |
| 90698 |
|
211 |
194 |
$0.00 |
| 90744 |
|
58 |
53 |
$0.00 |
| 90680 |
|
82 |
73 |
$0.00 |
| 90677 |
|
124 |
109 |
$0.00 |
| 90697 |
|
40 |
40 |
$0.00 |