| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,718 |
9,308 |
$642K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,044 |
5,397 |
$517K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,897 |
2,837 |
$223K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,821 |
2,649 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,025 |
6,765 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,824 |
1,764 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,029 |
955 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,829 |
1,671 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
546 |
508 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
271 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
980 |
953 |
$9K |
| 83655 |
|
639 |
615 |
$7K |
| 81003 |
|
2,632 |
2,402 |
$5K |
| 87081 |
|
898 |
786 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
130 |
125 |
$4K |
| 96127 |
|
1,660 |
1,573 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
880 |
827 |
$4K |
| 85027 |
|
671 |
645 |
$3K |
| 99381 |
|
40 |
39 |
$3K |
| 99383 |
|
12 |
12 |
$923.74 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
56 |
$595.48 |
| 87807 |
|
85 |
83 |
$570.56 |
| 97803 |
|
1,541 |
1,377 |
$435.00 |
| 90677 |
|
234 |
234 |
$303.09 |
| 97802 |
|
2,136 |
2,129 |
$90.00 |
| 36416 |
|
1,071 |
1,007 |
$7.68 |
| 90633 |
|
846 |
828 |
$0.00 |
| 90670 |
|
1,797 |
1,767 |
$0.00 |
| 90461 |
|
3,576 |
3,427 |
$0.00 |
| 1159F |
|
4,877 |
4,589 |
$0.00 |
| 90685 |
|
297 |
285 |
$0.00 |
| 90715 |
|
68 |
68 |
$0.00 |
| 90734 |
|
176 |
171 |
$0.00 |
| 90700 |
|
74 |
73 |
$0.00 |
| 99173 |
|
88 |
81 |
$0.00 |
| 90648 |
|
55 |
55 |
$0.00 |
| 90710 |
|
102 |
102 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 87254 |
|
14 |
14 |
$0.00 |
| 90707 |
|
42 |
40 |
$0.00 |
| 90621 |
|
43 |
41 |
$0.00 |
| 90698 |
|
1,526 |
1,503 |
$0.00 |
| 90744 |
|
913 |
897 |
$0.00 |
| 90696 |
|
111 |
111 |
$0.00 |
| 90680 |
|
1,183 |
1,160 |
$0.00 |
| 90686 |
|
1,389 |
1,375 |
$0.00 |
| 87070 |
|
161 |
158 |
$0.00 |
| 90651 |
|
186 |
185 |
$0.00 |
| 90619 |
|
70 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
733 |
665 |
$0.00 |
| 90716 |
|
55 |
53 |
$0.00 |
| 94760 |
|
93 |
83 |
$0.00 |
| 90656 |
|
88 |
87 |
$0.00 |