| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,697 |
6,410 |
$261K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,924 |
2,662 |
$136K |
| 87428 |
|
2,023 |
1,867 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
613 |
584 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
599 |
589 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
598 |
588 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,455 |
3,125 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,632 |
1,561 |
$40K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
120 |
112 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
855 |
770 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
311 |
305 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,562 |
712 |
$19K |
| 92552 |
|
1,382 |
1,369 |
$17K |
| 99000 |
|
895 |
828 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
139 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
693 |
693 |
$6K |
| 87807 |
|
373 |
326 |
$4K |
| 90461 |
|
576 |
408 |
$3K |
| 99460 |
|
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
100 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$852.78 |
| 87581 |
|
18 |
16 |
$442.14 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$258.10 |
| 90473 |
|
16 |
16 |
$117.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$79.00 |
| 86308 |
|
14 |
14 |
$53.05 |
| 90677 |
|
125 |
125 |
$21.00 |
| 90686 |
|
265 |
262 |
$2.00 |
| 94760 |
|
24 |
21 |
$1.96 |
| 99173 |
|
1,040 |
1,013 |
$0.00 |
| 90648 |
|
396 |
396 |
$0.00 |
| 90670 |
|
249 |
249 |
$0.00 |
| 90672 |
|
33 |
33 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90734 |
|
66 |
65 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
208 |
208 |
$0.00 |
| 96127 |
|
31 |
31 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |