| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,765 |
4,052 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,326 |
1,138 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
927 |
890 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,450 |
1,268 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
844 |
696 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
528 |
493 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
300 |
273 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
279 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
905 |
853 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,436 |
2,255 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
345 |
309 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,204 |
1,124 |
$6K |
| 83655 |
|
587 |
555 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
114 |
100 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
492 |
250 |
$5K |
| 99460 |
|
62 |
57 |
$4K |
| 81000 |
|
1,160 |
1,026 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
31 |
$2K |
| 80053 |
Comprehensive metabolic panel |
193 |
172 |
$1K |
| 99381 |
|
47 |
27 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
42 |
$719.84 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$502.08 |
| 87807 |
|
32 |
32 |
$441.75 |
| 96127 |
|
115 |
112 |
$204.33 |
| 87420 |
|
14 |
12 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,489 |
1,284 |
$39.00 |
| 90658 |
|
77 |
77 |
$20.16 |
| 90723 |
|
524 |
507 |
$0.01 |
| 90648 |
|
385 |
374 |
$0.00 |
| 90633 |
|
92 |
85 |
$0.00 |
| 90687 |
|
170 |
167 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
182 |
177 |
$0.00 |
| 90681 |
|
192 |
189 |
$0.00 |
| 90670 |
|
620 |
593 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
16 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
47 |
43 |
$0.00 |
| 90685 |
|
23 |
21 |
$0.00 |
| 90700 |
|
21 |
14 |
$0.00 |
| 90461 |
|
16 |
15 |
$0.00 |
| 99000 |
|
156 |
142 |
$0.00 |
| 90657 |
|
120 |
118 |
$0.00 |
| 90647 |
|
93 |
89 |
$0.00 |
| 36416 |
|
179 |
174 |
$0.00 |
| 90688 |
|
141 |
137 |
$0.00 |