| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,948 |
14,906 |
$601K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,911 |
4,451 |
$225K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,680 |
1,630 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,386 |
1,249 |
$94K |
| 87428 |
|
756 |
708 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
875 |
868 |
$68K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,659 |
4,447 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,154 |
2,068 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
932 |
901 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
338 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,237 |
1,134 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
359 |
345 |
$16K |
| 90686 |
|
2,120 |
2,038 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
474 |
372 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,202 |
1,083 |
$10K |
| 99215 |
Prolong outpt/office vis |
170 |
157 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,877 |
3,548 |
$8K |
| 90651 |
|
117 |
109 |
$4K |
| 90461 |
|
279 |
264 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
108 |
105 |
$3K |
| 90734 |
|
101 |
95 |
$3K |
| 87807 |
|
142 |
127 |
$2K |
| 90670 |
|
683 |
661 |
$2K |
| 0001A |
|
50 |
45 |
$2K |
| 90474 |
|
116 |
110 |
$762.82 |
| 0071A |
|
17 |
17 |
$688.00 |
| 99188 |
|
46 |
45 |
$551.47 |
| 0072A |
|
13 |
13 |
$525.60 |
| 90677 |
|
69 |
65 |
$522.05 |
| 90710 |
|
13 |
13 |
$463.06 |
| 85027 |
|
96 |
87 |
$445.28 |
| 90656 |
|
173 |
173 |
$431.96 |
| 90696 |
|
13 |
13 |
$415.00 |
| 96127 |
|
36 |
35 |
$363.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
49 |
$263.37 |
| 81003 |
|
60 |
58 |
$127.46 |
| 90648 |
|
268 |
257 |
$97.28 |
| 90715 |
|
12 |
12 |
$37.56 |
| 90633 |
|
52 |
52 |
$30.96 |
| 99177 |
|
600 |
585 |
$30.80 |
| 90647 |
|
99 |
98 |
$28.59 |
| 90723 |
|
235 |
225 |
$0.09 |
| 90680 |
|
131 |
123 |
$0.07 |
| 90685 |
|
27 |
24 |
$0.01 |
| 91307 |
|
48 |
44 |
$0.00 |
| 91300 |
|
62 |
50 |
$0.00 |