| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,569 |
9,567 |
$1.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,024 |
6,465 |
$1.17M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
790 |
735 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
637 |
637 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
439 |
439 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
268 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,193 |
3,176 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
210 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,524 |
1,521 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,024 |
978 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,570 |
1,468 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
75 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$1K |
| 90474 |
|
133 |
133 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
637 |
606 |
$980.78 |
| 3008F |
|
810 |
723 |
$234.75 |
| 90620 |
|
14 |
14 |
$187.77 |
| 3074F |
|
249 |
236 |
$151.71 |
| 99307 |
|
13 |
13 |
$119.56 |
| 87428 |
|
80 |
77 |
$73.49 |
| 90686 |
|
589 |
588 |
$41.86 |
| 87400 |
|
288 |
279 |
$25.14 |
| 36416 |
|
78 |
75 |
$2.67 |
| 90651 |
|
77 |
77 |
$0.01 |
| 90680 |
|
157 |
157 |
$0.00 |
| 90698 |
|
124 |
124 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90677 |
|
63 |
63 |
$0.00 |
| 87807 |
|
115 |
110 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
477 |
477 |
$0.00 |
| 90633 |
|
131 |
131 |
$0.00 |
| 90648 |
|
47 |
47 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 3078F |
|
182 |
164 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 80305 |
|
15 |
15 |
$0.00 |