| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,510 |
2,190 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
938 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,043 |
994 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
873 |
830 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
70 |
$5K |
| 90461 |
|
158 |
155 |
$4K |
| 87430 |
|
260 |
242 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
51 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
63 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
41 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
20 |
$2K |
| 90686 |
|
278 |
268 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
14 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
57 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 96127 |
|
71 |
68 |
$922.78 |
| 87400 |
|
106 |
49 |
$783.47 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$724.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$487.70 |
| 36416 |
|
909 |
865 |
$373.01 |
| 90674 |
|
76 |
76 |
$342.84 |
| 90661 |
|
18 |
18 |
$128.00 |
| 81003 |
|
28 |
26 |
$70.89 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
61 |
57 |
$70.20 |
| 99072 |
|
39 |
39 |
$44.00 |
| 90698 |
|
13 |
13 |
$0.00 |