| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,650 |
10,561 |
$411K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,610 |
4,250 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
268 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,257 |
1,215 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
129 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
238 |
232 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
117 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
367 |
353 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,097 |
2,828 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$7K |
| 90686 |
|
705 |
687 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
783 |
715 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
81 |
$2K |
| 87428 |
|
16 |
16 |
$2K |
| 80047 |
|
258 |
233 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$2K |
| 96127 |
|
19 |
19 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
69 |
$989.83 |
| 80061 |
Lipid panel |
83 |
74 |
$900.39 |
| 90734 |
|
16 |
16 |
$809.52 |
| 90461 |
|
66 |
65 |
$571.12 |
| 0071A |
|
14 |
14 |
$561.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$400.00 |
| 90656 |
|
85 |
85 |
$371.21 |
| 87807 |
|
12 |
12 |
$162.86 |
| 90715 |
|
14 |
14 |
$85.89 |
| 81003 |
|
34 |
26 |
$69.86 |
| 99177 |
|
256 |
253 |
$47.02 |
| 91300 |
|
33 |
28 |
$0.00 |
| 90648 |
|
27 |
25 |
$0.00 |
| 91307 |
|
18 |
17 |
$0.00 |