| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,018 |
14,591 |
$1.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,902 |
5,677 |
$949K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,119 |
2,119 |
$333K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,680 |
5,387 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,722 |
1,705 |
$260K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,333 |
1,332 |
$202K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,742 |
4,517 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
516 |
516 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,046 |
5,003 |
$75K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,698 |
2,696 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,791 |
3,781 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,565 |
4,389 |
$66K |
| 99381 |
|
183 |
183 |
$33K |
| 74018 |
|
791 |
762 |
$30K |
| 99188 |
|
1,612 |
1,612 |
$29K |
| 96127 |
|
2,017 |
2,013 |
$13K |
| 87807 |
|
1,092 |
1,051 |
$13K |
| 90474 |
|
625 |
625 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
354 |
343 |
$11K |
| 83655 |
|
631 |
627 |
$7K |
| 96161 |
|
943 |
931 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$5K |
| 90473 |
|
130 |
129 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
251 |
250 |
$2K |
| 96380 |
|
56 |
56 |
$1K |
| 85018 |
|
481 |
479 |
$993.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$946.10 |
| 90672 |
|
93 |
92 |
$14.49 |
| 90671 |
|
264 |
264 |
$0.07 |
| 90633 |
|
737 |
737 |
$0.04 |
| 90686 |
|
318 |
318 |
$0.02 |
| 90661 |
|
83 |
83 |
$0.01 |
| 90697 |
|
825 |
825 |
$0.00 |
| 90677 |
|
185 |
185 |
$0.00 |
| 90680 |
|
637 |
637 |
$0.00 |
| 90696 |
|
113 |
113 |
$0.00 |
| 90647 |
|
229 |
229 |
$0.00 |
| 90716 |
|
105 |
105 |
$0.00 |
| 90723 |
|
99 |
99 |
$0.00 |
| 90381 |
|
18 |
18 |
$0.00 |
| 90619 |
|
68 |
68 |
$0.00 |
| 91307 |
|
32 |
26 |
$0.00 |
| 90651 |
|
96 |
96 |
$0.00 |
| 90674 |
|
75 |
75 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 96160 |
|
968 |
968 |
$0.00 |
| 90670 |
|
883 |
883 |
$0.00 |
| 90707 |
|
141 |
141 |
$0.00 |
| 90700 |
|
100 |
100 |
$0.00 |
| 90710 |
|
192 |
192 |
$0.00 |
| 90681 |
|
85 |
85 |
$0.00 |
| 90715 |
|
80 |
80 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |