| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,736 |
14,404 |
$449K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,989 |
1,926 |
$133K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,753 |
2,697 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,619 |
1,360 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,322 |
1,304 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,463 |
1,670 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
441 |
437 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
529 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
707 |
673 |
$21K |
| 87430 |
|
2,909 |
2,738 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
509 |
498 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,042 |
1,915 |
$15K |
| 99460 |
|
84 |
83 |
$6K |
| 90473 |
|
288 |
285 |
$6K |
| 87807 |
|
341 |
328 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
129 |
127 |
$679.60 |
| 90686 |
|
224 |
223 |
$640.39 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$540.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
159 |
146 |
$353.90 |
| 99334 |
|
86 |
80 |
$224.60 |
| 81003 |
|
199 |
193 |
$198.26 |
| 90670 |
|
703 |
694 |
$180.05 |
| 81000 |
|
40 |
39 |
$95.08 |
| 90656 |
|
24 |
24 |
$39.54 |
| 36415 |
Collection of venous blood by venipuncture |
348 |
329 |
$12.00 |
| 90744 |
|
226 |
224 |
$6.00 |
| 90698 |
|
916 |
902 |
$0.06 |
| 90680 |
|
513 |
507 |
$0.04 |
| 90671 |
|
208 |
207 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| 90685 |
|
51 |
51 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |