| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,779 |
2,395 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,916 |
1,421 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
760 |
505 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
937 |
606 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,628 |
1,048 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,960 |
1,327 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,313 |
914 |
$19K |
| 96161 |
|
1,380 |
1,049 |
$13K |
| 90474 |
|
723 |
515 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
248 |
156 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
34 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
79 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
41 |
$2K |
| 81025 |
|
576 |
377 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
92 |
$2K |
| 83655 |
|
223 |
131 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
82 |
$2K |
| 90686 |
|
357 |
258 |
$2K |
| 87210 |
|
533 |
330 |
$1K |
| 92551 |
|
205 |
111 |
$1K |
| 96127 |
|
219 |
148 |
$803.77 |
| 36416 |
|
817 |
512 |
$747.81 |
| 90670 |
|
937 |
664 |
$712.93 |
| 85018 |
|
369 |
238 |
$649.32 |
| 3008F |
|
124 |
117 |
$560.00 |
| 96160 |
|
49 |
29 |
$529.21 |
| 81001 |
|
895 |
544 |
$520.55 |
| 90715 |
|
15 |
14 |
$499.86 |
| 99177 |
|
134 |
66 |
$442.68 |
| 90680 |
|
716 |
511 |
$330.93 |
| 90723 |
|
672 |
520 |
$314.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$268.51 |
| 81003 |
|
234 |
190 |
$168.33 |
| 90633 |
|
279 |
188 |
$131.01 |
| 90716 |
|
52 |
24 |
$65.33 |
| 36415 |
Collection of venous blood by venipuncture |
160 |
53 |
$51.15 |
| 81002 |
|
847 |
486 |
$48.94 |
| 85013 |
|
12 |
12 |
$40.84 |
| 90648 |
|
812 |
609 |
$21.84 |
| 99000 |
|
1,234 |
764 |
$0.00 |
| 90698 |
|
41 |
12 |
$0.00 |
| 0502F |
|
1,659 |
998 |
$0.00 |
| 90707 |
|
17 |
12 |
$0.00 |