| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,808 |
21,909 |
$1.83M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,797 |
2,704 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,591 |
2,535 |
$212K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,258 |
3,905 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,633 |
3,560 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,495 |
1,484 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,397 |
1,395 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,459 |
15,266 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
679 |
644 |
$56K |
| 87070 |
|
16,832 |
14,723 |
$39K |
| 92551 |
|
4,149 |
4,066 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
376 |
$38K |
| 87184 |
|
17,136 |
14,968 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,598 |
2,181 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,243 |
1,169 |
$15K |
| 92587 |
|
3,440 |
3,346 |
$15K |
| 99381 |
|
139 |
139 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
290 |
288 |
$13K |
| 17110 |
|
105 |
95 |
$11K |
| 13152 |
|
16 |
14 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,073 |
1,956 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$4K |
| 69210 |
|
62 |
60 |
$3K |
| 11000 |
|
54 |
45 |
$2K |
| 90677 |
|
321 |
321 |
$2K |
| 10120 |
|
12 |
12 |
$1K |
| 90697 |
|
294 |
294 |
$630.41 |
| 81000 |
|
235 |
224 |
$362.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$285.60 |
| 36415 |
Collection of venous blood by venipuncture |
2,370 |
2,218 |
$192.10 |
| 87081 |
|
74 |
71 |
$184.01 |
| 94760 |
|
158 |
144 |
$96.20 |
| 36410 |
|
183 |
166 |
$61.84 |
| 85018 |
|
110 |
106 |
$0.92 |
| 99000 |
|
1,981 |
1,876 |
$0.00 |
| 97597 |
|
23 |
18 |
$0.00 |