| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,961 |
1,333 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
812 |
633 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
832 |
527 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
238 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
835 |
550 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,075 |
777 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
618 |
456 |
$10K |
| 96161 |
|
549 |
428 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
116 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
106 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
64 |
$2K |
| 90474 |
|
237 |
175 |
$2K |
| 90686 |
|
316 |
235 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
62 |
$2K |
| 81025 |
|
320 |
231 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$895.96 |
| 92551 |
|
92 |
73 |
$675.74 |
| 96160 |
|
31 |
30 |
$450.91 |
| 99177 |
|
72 |
54 |
$406.39 |
| 36416 |
|
398 |
271 |
$356.71 |
| 96127 |
|
65 |
63 |
$312.49 |
| 83655 |
|
29 |
27 |
$311.27 |
| 90651 |
|
26 |
25 |
$300.00 |
| 87210 |
|
83 |
62 |
$273.48 |
| 90715 |
|
12 |
12 |
$229.28 |
| 81001 |
|
308 |
200 |
$191.08 |
| 36415 |
Collection of venous blood by venipuncture |
263 |
124 |
$189.05 |
| 85018 |
|
66 |
59 |
$161.47 |
| 3008F |
|
70 |
66 |
$160.00 |
| 81003 |
|
56 |
55 |
$63.23 |
| 81002 |
|
251 |
166 |
$34.80 |
| 0502F |
|
686 |
483 |
$0.00 |
| 90648 |
|
335 |
276 |
$0.00 |
| 90670 |
|
371 |
295 |
$0.00 |
| 90633 |
|
76 |
67 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99000 |
|
797 |
501 |
$0.00 |
| 90680 |
|
238 |
176 |
$0.00 |
| 90723 |
|
207 |
178 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |