| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,241 |
5,189 |
$268K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
799 |
755 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
295 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,244 |
1,173 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
710 |
549 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
863 |
821 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
972 |
765 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
142 |
$6K |
| 87807 |
|
249 |
182 |
$2K |
| 87428 |
|
21 |
15 |
$792.89 |
| 92551 |
|
80 |
72 |
$578.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
76 |
68 |
$529.19 |
| 81003 |
|
310 |
264 |
$454.63 |
| 99173 |
|
116 |
92 |
$100.91 |
| 90677 |
|
76 |
74 |
$0.30 |
| 90647 |
|
73 |
70 |
$0.30 |
| 90633 |
|
49 |
43 |
$0.16 |
| 90723 |
|
149 |
144 |
$0.00 |
| 36416 |
|
81 |
65 |
$0.00 |
| 90686 |
|
41 |
41 |
$0.00 |
| 90670 |
|
218 |
209 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |