| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,034 |
16,212 |
$1.40M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,663 |
2,659 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,449 |
2,448 |
$230K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,669 |
1,641 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,294 |
1,294 |
$133K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,034 |
3,030 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,951 |
1,896 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,759 |
4,737 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
567 |
550 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,508 |
1,456 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,462 |
1,413 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
467 |
464 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
560 |
550 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
995 |
957 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$5K |
| 90474 |
|
403 |
403 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
210 |
206 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 96161 |
|
122 |
120 |
$610.00 |
| 87807 |
|
47 |
46 |
$547.55 |
| 90686 |
|
1,159 |
1,158 |
$121.03 |
| 90656 |
|
97 |
97 |
$0.06 |
| 90651 |
|
360 |
360 |
$0.02 |
| 90698 |
|
344 |
344 |
$0.00 |
| 90697 |
|
66 |
66 |
$0.00 |
| 90744 |
|
79 |
79 |
$0.00 |
| 90677 |
|
88 |
88 |
$0.00 |
| 90680 |
|
440 |
440 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 91307 |
|
25 |
24 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90670 |
|
1,206 |
1,206 |
$0.00 |
| 90734 |
|
207 |
207 |
$0.00 |
| 90633 |
|
367 |
367 |
$0.00 |
| 96160 |
|
3,463 |
3,462 |
$0.00 |
| 90710 |
|
43 |
43 |
$0.00 |
| 90715 |
|
63 |
63 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90621 |
|
41 |
41 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |