| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,620 |
4,582 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,681 |
1,366 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
892 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,395 |
1,343 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
455 |
449 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,994 |
1,922 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
541 |
473 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
571 |
364 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
166 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
82 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,459 |
1,212 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
437 |
373 |
$3K |
| W0037 |
|
1,134 |
1,134 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
208 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
53 |
$3K |
| 99460 |
|
27 |
24 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
51 |
43 |
$2K |
| 81003 |
|
590 |
323 |
$954.07 |
| 81001 |
|
247 |
201 |
$844.30 |
| 87807 |
|
47 |
43 |
$791.70 |
| 99462 |
|
19 |
12 |
$691.41 |
| 99000 |
|
95 |
89 |
$520.46 |
| 90686 |
|
398 |
386 |
$403.39 |
| 90670 |
|
724 |
708 |
$169.11 |
| 85018 |
|
50 |
49 |
$155.75 |
| 85014 |
|
50 |
49 |
$152.25 |
| 90715 |
|
13 |
13 |
$116.25 |
| 90633 |
|
93 |
93 |
$58.33 |
| 94760 |
|
15 |
13 |
$26.31 |
| 90685 |
|
27 |
26 |
$0.03 |
| 90723 |
|
487 |
473 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90461 |
|
33 |
31 |
$0.00 |
| 90648 |
|
750 |
729 |
$0.00 |
| 90681 |
|
154 |
149 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |