| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,488 |
40,369 |
$3.07M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,846 |
7,833 |
$631K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,203 |
7,197 |
$577K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,238 |
5,235 |
$465K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,620 |
4,553 |
$334K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,211 |
11,057 |
$294K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,312 |
3,259 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,256 |
3,589 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
834 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,578 |
4,707 |
$69K |
| 99381 |
|
699 |
699 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,246 |
1,221 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,180 |
4,111 |
$58K |
| 92552 |
|
3,201 |
3,186 |
$57K |
| 92015 |
Determination of refractive state |
2,884 |
2,876 |
$32K |
| 96127 |
|
9,163 |
7,044 |
$32K |
| 92551 |
|
3,253 |
3,252 |
$22K |
| 83655 |
|
908 |
906 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
549 |
516 |
$10K |
| 85018 |
|
4,080 |
4,053 |
$9K |
| 87430 |
|
600 |
585 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,048 |
1,010 |
$7K |
| 97803 |
|
3,498 |
3,493 |
$7K |
| 36416 |
|
4,549 |
4,526 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
65 |
$6K |
| 17110 |
|
39 |
37 |
$2K |
| 99177 |
|
4,990 |
4,988 |
$2K |
| 96161 |
|
872 |
840 |
$2K |
| 85014 |
|
635 |
634 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 17250 |
|
39 |
39 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
448 |
443 |
$1K |
| 92587 |
|
107 |
107 |
$607.94 |
| 69210 |
|
13 |
13 |
$399.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
37 |
$379.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
35 |
$368.02 |
| 90677 |
|
500 |
500 |
$298.04 |
| 86580 |
|
38 |
31 |
$174.55 |
| 87807 |
|
67 |
66 |
$147.15 |
| 83014 |
|
27 |
27 |
$43.38 |
| 82962 |
|
12 |
12 |
$34.11 |
| 2000F |
|
8,287 |
8,281 |
$33.65 |
| 90647 |
|
2,610 |
2,607 |
$30.70 |
| 90685 |
|
115 |
114 |
$21.81 |
| 80061 |
Lipid panel |
12 |
12 |
$12.32 |
| 3008F |
|
9,517 |
9,507 |
$0.00 |
| 90716 |
|
1,799 |
1,797 |
$0.00 |
| 90680 |
|
2,415 |
2,413 |
$0.00 |
| 90723 |
|
1,621 |
1,619 |
$0.00 |
| 90688 |
|
236 |
236 |
$0.00 |
| 90744 |
|
139 |
139 |
$0.00 |
| 90651 |
|
1,311 |
1,311 |
$0.00 |
| 90686 |
|
1,730 |
1,726 |
$0.00 |
| 90619 |
|
583 |
583 |
$0.00 |
| 90656 |
|
102 |
102 |
$0.00 |
| 99174 |
|
251 |
251 |
$0.00 |
| 90698 |
|
29 |
29 |
$0.00 |
| 99173 |
|
248 |
248 |
$0.00 |
| 90670 |
|
2,929 |
2,925 |
$0.00 |
| 90713 |
|
1,947 |
1,946 |
$0.00 |
| 90633 |
|
2,005 |
2,004 |
$0.00 |
| 90734 |
|
1,126 |
1,126 |
$0.00 |
| 90707 |
|
1,825 |
1,823 |
$0.00 |
| 90700 |
|
3,022 |
3,021 |
$0.00 |
| 90715 |
|
839 |
839 |
$0.00 |
| 90461 |
|
1,287 |
1,282 |
$0.00 |
| 94664 |
|
44 |
44 |
$0.00 |