| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,991 |
3,479 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
423 |
419 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
357 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
329 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
386 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
201 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
336 |
325 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,449 |
1,331 |
$11K |
| 99429 |
|
149 |
147 |
$4K |
| 90461 |
|
629 |
524 |
$2K |
| 0001A |
|
52 |
47 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
216 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
454 |
426 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
339 |
287 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
62 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
110 |
$1K |
| 83655 |
|
174 |
172 |
$1K |
| 99000 |
|
259 |
253 |
$646.88 |
| 96160 |
|
218 |
214 |
$410.46 |
| 87807 |
|
29 |
27 |
$266.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$245.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
33 |
$13.19 |
| 86580 |
|
46 |
45 |
$12.92 |
| 36415 |
Collection of venous blood by venipuncture |
434 |
412 |
$0.00 |
| 90688 |
|
462 |
459 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
762 |
749 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90680 |
|
89 |
88 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
147 |
145 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
225 |
224 |
$0.00 |
| 91300 |
|
52 |
47 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |