| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,860 |
57,686 |
$2.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,514 |
14,667 |
$766K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,477 |
1,448 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,024 |
1,020 |
$80K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,236 |
7,784 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,621 |
1,560 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
944 |
895 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
699 |
687 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,633 |
1,112 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,003 |
2,941 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,215 |
1,175 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,073 |
2,004 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,271 |
1,232 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
523 |
502 |
$27K |
| 96127 |
|
693 |
671 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
9,375 |
8,801 |
$22K |
| 90686 |
|
1,764 |
1,732 |
$9K |
| 0001A |
|
231 |
230 |
$7K |
| 0002A |
|
203 |
200 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
94 |
$7K |
| 90461 |
|
697 |
665 |
$7K |
| 80053 |
Comprehensive metabolic panel |
515 |
480 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
155 |
$5K |
| 0071A |
|
96 |
96 |
$4K |
| 90651 |
|
188 |
186 |
$3K |
| 90734 |
|
197 |
195 |
$3K |
| 99188 |
|
201 |
200 |
$3K |
| 80061 |
Lipid panel |
199 |
190 |
$3K |
| 0072A |
|
63 |
63 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
579 |
527 |
$2K |
| 81001 |
|
503 |
480 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
37 |
$1K |
| 90473 |
|
79 |
78 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
80 |
$709.90 |
| 90474 |
|
96 |
96 |
$660.52 |
| 90656 |
|
250 |
250 |
$562.24 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
25 |
$479.25 |
| 87210 |
|
56 |
40 |
$377.21 |
| 90710 |
|
24 |
24 |
$370.90 |
| 90715 |
|
62 |
62 |
$308.53 |
| 90672 |
|
130 |
128 |
$237.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
37 |
$128.75 |
| 90648 |
|
565 |
541 |
$106.53 |
| 81003 |
|
29 |
28 |
$74.10 |
| 90696 |
|
12 |
12 |
$59.16 |
| 90677 |
|
175 |
163 |
$0.43 |
| 90670 |
|
504 |
498 |
$0.02 |
| 90723 |
|
222 |
213 |
$0.00 |
| 90647 |
|
104 |
104 |
$0.00 |
| 90680 |
|
125 |
121 |
$0.00 |
| 91307 |
|
181 |
146 |
$0.00 |
| 91300 |
|
436 |
421 |
$0.00 |
| 90633 |
|
74 |
74 |
$0.00 |
| 99177 |
|
109 |
108 |
$0.00 |
| 90681 |
|
25 |
24 |
$0.00 |