| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,096 |
42,658 |
$2.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,957 |
8,351 |
$763K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,593 |
6,355 |
$646K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,391 |
5,011 |
$424K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,450 |
16,671 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,562 |
3,212 |
$254K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,481 |
184 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,635 |
2,270 |
$203K |
| 92587 |
|
11,338 |
10,437 |
$137K |
| 99381 |
|
989 |
812 |
$69K |
| 99051 |
|
9,718 |
8,832 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,232 |
4,610 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,058 |
6,422 |
$50K |
| 36416 |
|
5,920 |
4,607 |
$40K |
| 90461 |
|
12,652 |
10,137 |
$33K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,931 |
1,603 |
$32K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
138 |
138 |
$26K |
| 90670 |
|
4,338 |
3,873 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,165 |
4,171 |
$18K |
| 99383 |
|
182 |
177 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
232 |
219 |
$13K |
| H0049 |
Alcohol and/or drug screening |
989 |
695 |
$13K |
| 90716 |
|
2,636 |
2,357 |
$12K |
| 97802 |
|
9,355 |
8,340 |
$10K |
| 99382 |
|
126 |
119 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
144 |
$9K |
| 85018 |
|
4,457 |
4,038 |
$7K |
| 81001 |
|
767 |
690 |
$7K |
| 99384 |
|
76 |
44 |
$6K |
| 87807 |
|
877 |
821 |
$5K |
| 99174 |
|
21,467 |
16,512 |
$4K |
| 96161 |
|
3,149 |
2,473 |
$3K |
| 99460 |
|
44 |
41 |
$3K |
| 90715 |
|
601 |
506 |
$2K |
| 90686 |
|
2,676 |
2,484 |
$2K |
| 90707 |
|
2,845 |
2,576 |
$2K |
| 90696 |
|
1,330 |
1,166 |
$2K |
| 90723 |
|
3,750 |
3,161 |
$1K |
| 90633 |
|
2,825 |
2,600 |
$1K |
| 96127 |
|
5,401 |
3,739 |
$994.61 |
| 90677 |
|
711 |
455 |
$979.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$653.59 |
| 90680 |
|
3,354 |
2,815 |
$582.52 |
| 90651 |
|
1,260 |
1,087 |
$468.96 |
| 90648 |
|
5,119 |
4,391 |
$380.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$360.15 |
| 99462 |
|
51 |
41 |
$260.36 |
| 90700 |
|
1,081 |
993 |
$235.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$216.00 |
| 99177 |
|
2,814 |
1,966 |
$141.60 |
| 90656 |
|
99 |
93 |
$64.92 |
| 90734 |
|
1,250 |
1,062 |
$24.00 |
| 96380 |
|
27 |
14 |
$10.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
126 |
121 |
$6.48 |
| 81003 |
|
270 |
256 |
$2.02 |
| 83655 |
|
142 |
135 |
$0.59 |
| 3008F |
|
1,248 |
976 |
$0.06 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
32 |
31 |
$0.00 |
| 90868 |
|
61 |
58 |
$0.00 |
| 96160 |
|
48 |
35 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
29 |
$0.00 |
| 99000 |
|
184 |
169 |
$0.00 |