| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,615 |
9,131 |
$736K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,021 |
974 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,151 |
1,116 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,911 |
3,784 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
787 |
782 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
574 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,439 |
1,186 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
334 |
$26K |
| 99401 |
|
1,294 |
1,239 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,758 |
3,456 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
492 |
468 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,896 |
2,816 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,091 |
2,062 |
$5K |
| 86328 |
|
96 |
48 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
88 |
$4K |
| 99050 |
|
193 |
187 |
$1K |
| 92588 |
|
12 |
12 |
$667.92 |
| 90461 |
|
137 |
136 |
$198.52 |
| 83655 |
|
13 |
13 |
$133.77 |
| 36416 |
|
2,668 |
2,572 |
$66.72 |
| 99000 |
|
299 |
281 |
$55.11 |
| 81002 |
|
31 |
29 |
$53.51 |
| 90688 |
|
64 |
64 |
$0.07 |
| 90686 |
|
516 |
506 |
$0.05 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90619 |
|
29 |
28 |
$0.00 |
| 99070 |
|
14 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90713 |
|
122 |
121 |
$0.00 |
| 90670 |
|
139 |
135 |
$0.00 |
| 90648 |
|
70 |
70 |
$0.00 |
| 99072 |
|
769 |
646 |
$0.00 |
| 90700 |
|
234 |
232 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |