| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,227 |
7,774 |
$500K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,080 |
3,902 |
$366K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
291 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,512 |
1,512 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
672 |
672 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
224 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,266 |
2,157 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
151 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
146 |
$13K |
| 96127 |
|
2,618 |
2,577 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
91 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
85 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
116 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
241 |
240 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
648 |
640 |
$2K |
| 90686 |
|
136 |
136 |
$669.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
49 |
$653.17 |
| 96161 |
|
26 |
26 |
$130.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
35 |
$19.14 |
| 96160 |
|
24 |
24 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90674 |
|
45 |
45 |
$0.00 |