| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,421 |
17,336 |
$815K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,139 |
7,256 |
$524K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,142 |
11,443 |
$448K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,763 |
2,597 |
$345K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,830 |
3,426 |
$250K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,955 |
2,679 |
$194K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,305 |
1,939 |
$137K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,415 |
2,213 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
964 |
830 |
$68K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
986 |
882 |
$67K |
| 92552 |
|
2,897 |
2,549 |
$46K |
| 99173 |
|
6,552 |
5,741 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,063 |
2,709 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,020 |
716 |
$18K |
| 87631 |
|
142 |
132 |
$13K |
| 90686 |
|
5,499 |
4,751 |
$12K |
| 96160 |
|
957 |
831 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
638 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
812 |
713 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
452 |
208 |
$5K |
| 96127 |
|
1,385 |
1,159 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
91 |
$3K |
| 96161 |
|
221 |
198 |
$3K |
| 90670 |
|
1,310 |
1,147 |
$2K |
| 99177 |
|
303 |
265 |
$2K |
| 99051 |
|
1,110 |
998 |
$2K |
| 99174 |
|
151 |
130 |
$1K |
| 3008F |
|
118 |
93 |
$1K |
| 90671 |
|
30 |
26 |
$914.05 |
| 90710 |
|
18 |
13 |
$825.00 |
| 90651 |
|
48 |
45 |
$684.90 |
| 87081 |
|
340 |
307 |
$531.44 |
| 90461 |
|
235 |
206 |
$389.98 |
| 83655 |
|
30 |
26 |
$312.13 |
| 90674 |
|
107 |
90 |
$296.91 |
| 90672 |
|
200 |
189 |
$274.95 |
| 90734 |
|
29 |
24 |
$274.81 |
| 81000 |
|
67 |
63 |
$221.24 |
| 90696 |
|
18 |
13 |
$206.49 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
86 |
$190.43 |
| 92558 |
|
39 |
29 |
$162.46 |
| 90723 |
|
447 |
386 |
$105.69 |
| 90647 |
|
506 |
423 |
$103.90 |
| 90633 |
|
72 |
65 |
$87.34 |
| 81003 |
|
13 |
13 |
$24.23 |
| 94760 |
|
14 |
12 |
$6.40 |
| 99072 |
|
3,019 |
2,426 |
$3.31 |
| 90681 |
|
38 |
36 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 99000 |
|
97 |
78 |
$0.00 |