| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,607 |
2,951 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,243 |
1,007 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
529 |
433 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
356 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
314 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
796 |
674 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
402 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
130 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
239 |
188 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
411 |
201 |
$4K |
| 96161 |
|
409 |
344 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
128 |
$2K |
| 99173 |
|
295 |
233 |
$1K |
| 92551 |
|
206 |
152 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 99381 |
|
13 |
12 |
$903.98 |
| 96127 |
|
252 |
188 |
$855.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
14 |
$832.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
58 |
$684.53 |
| 90670 |
|
515 |
423 |
$681.88 |
| V5008 |
Hearing screening |
81 |
70 |
$681.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$360.22 |
| 87807 |
|
34 |
32 |
$310.91 |
| 36415 |
Collection of venous blood by venipuncture |
239 |
193 |
$296.15 |
| 90688 |
|
136 |
65 |
$234.40 |
| 83655 |
|
35 |
16 |
$187.02 |
| 99406 |
|
20 |
19 |
$158.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
48 |
$131.91 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$76.85 |
| 85018 |
|
35 |
16 |
$42.97 |
| 90686 |
|
131 |
98 |
$41.06 |
| 36416 |
|
35 |
16 |
$26.80 |
| 81003 |
|
13 |
13 |
$21.41 |
| 90633 |
|
124 |
91 |
$0.00 |
| 90685 |
|
125 |
89 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
24 |
$0.00 |
| 90710 |
|
50 |
39 |
$0.00 |
| 90707 |
|
32 |
27 |
$0.00 |
| 90723 |
|
111 |
104 |
$0.00 |
| 90680 |
|
224 |
181 |
$0.00 |
| 90698 |
|
146 |
112 |
$0.00 |
| 90647 |
|
92 |
75 |
$0.00 |
| 90744 |
|
71 |
40 |
$0.00 |
| 90651 |
|
18 |
14 |
$0.00 |
| 1034F |
|
17 |
16 |
$0.00 |
| 90716 |
|
32 |
27 |
$0.00 |