| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,014 |
11,135 |
$506K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,648 |
1,647 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,395 |
2,231 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,963 |
3,290 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,004 |
997 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,576 |
3,880 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
765 |
654 |
$26K |
| 99000 |
|
1,141 |
1,069 |
$12K |
| 81003 |
|
5,924 |
3,690 |
$11K |
| 90461 |
|
2,080 |
1,829 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
705 |
695 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
74 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
340 |
$5K |
| 87428 |
|
86 |
83 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
39 |
37 |
$4K |
| 90686 |
|
1,035 |
1,032 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
316 |
298 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
39 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$740.01 |
| 90656 |
|
79 |
79 |
$455.91 |
| 90715 |
|
12 |
12 |
$258.51 |
| 87807 |
|
15 |
15 |
$188.10 |
| 80061 |
Lipid panel |
25 |
24 |
$74.37 |
| 90688 |
|
12 |
12 |
$16.81 |
| 90670 |
|
584 |
583 |
$0.00 |
| 90648 |
|
157 |
157 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90680 |
|
105 |
105 |
$0.00 |
| 90697 |
|
76 |
76 |
$0.00 |
| 90677 |
|
76 |
76 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |