| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,025 |
10,884 |
$749K |
| 99199 |
Unlisted special service, procedure or report |
81,628 |
49,907 |
$482K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,783 |
3,749 |
$375K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,453 |
2,808 |
$59K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,462 |
1,187 |
$57K |
| 87428 |
|
643 |
465 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
262 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
276 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
342 |
276 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
326 |
256 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
59 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
366 |
214 |
$6K |
| 90688 |
|
565 |
481 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
43 |
$706.50 |
| 69210 |
|
14 |
14 |
$502.88 |
| 90651 |
|
13 |
12 |
$491.40 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
206 |
$448.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$315.75 |
| 90734 |
|
70 |
32 |
$138.04 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$87.52 |
| 99173 |
|
904 |
775 |
$86.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$80.48 |
| 92551 |
|
290 |
247 |
$66.16 |
| 94760 |
|
35 |
28 |
$2.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90619 |
|
17 |
13 |
$0.00 |
| 90716 |
|
57 |
33 |
$0.00 |
| 90696 |
|
37 |
24 |
$0.00 |
| 90697 |
|
88 |
69 |
$0.00 |
| 90656 |
|
21 |
19 |
$0.00 |
| 90680 |
|
31 |
24 |
$0.00 |
| 90698 |
|
33 |
27 |
$0.00 |
| 90686 |
|
62 |
61 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90670 |
|
217 |
186 |
$0.00 |
| 90707 |
|
58 |
34 |
$0.00 |