| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,169 |
35,142 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,022 |
26,662 |
$2.17M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,534 |
11,569 |
$446K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,091 |
2,998 |
$289K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,268 |
2,237 |
$244K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,446 |
1,429 |
$120K |
| 90461 |
|
2,487 |
2,026 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,069 |
1,011 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,561 |
4,130 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
714 |
686 |
$66K |
| 71046 |
Radiologic examination, chest; 2 views |
2,356 |
2,256 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
490 |
472 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
987 |
934 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
461 |
417 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,050 |
1,047 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
11,033 |
10,360 |
$33K |
| 99215 |
Prolong outpt/office vis |
348 |
322 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,563 |
1,460 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
670 |
654 |
$30K |
| 99201 |
|
193 |
189 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
145 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
171 |
170 |
$14K |
| 96127 |
|
2,360 |
2,356 |
$13K |
| 93922 |
|
232 |
227 |
$12K |
| 11721 |
|
502 |
465 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
482 |
456 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
452 |
444 |
$7K |
| 73630 |
|
227 |
210 |
$6K |
| 90688 |
|
1,526 |
1,294 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
269 |
$4K |
| 92551 |
|
888 |
809 |
$4K |
| 99177 |
|
744 |
742 |
$4K |
| 72100 |
|
118 |
116 |
$3K |
| 99173 |
|
1,185 |
1,086 |
$2K |
| 76642 |
|
45 |
36 |
$2K |
| 99383 |
|
16 |
15 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$783.28 |
| 76536 |
|
14 |
12 |
$509.18 |
| 92134 |
|
12 |
12 |
$306.80 |
| 77080 |
|
12 |
12 |
$138.04 |
| 90686 |
|
3,021 |
2,403 |
$117.47 |
| 81003 |
|
25 |
25 |
$35.61 |
| 90620 |
|
75 |
56 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$0.00 |
| 90680 |
|
32 |
24 |
$0.00 |
| 90619 |
|
34 |
17 |
$0.00 |
| 90651 |
|
56 |
54 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$0.00 |
| 90734 |
|
50 |
45 |
$0.00 |
| 90670 |
|
170 |
141 |
$0.00 |
| 90685 |
|
59 |
50 |
$0.00 |
| 90633 |
|
38 |
37 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |