| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,011 |
3,483 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,652 |
2,284 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
441 |
441 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
385 |
$18K |
| 92081 |
|
1,016 |
1,003 |
$17K |
| 92552 |
|
1,080 |
1,073 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
447 |
$12K |
| 93000 |
|
850 |
843 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
839 |
812 |
$10K |
| 99442 |
|
681 |
592 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
728 |
680 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
507 |
504 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
162 |
151 |
$7K |
| 94060 |
|
163 |
155 |
$6K |
| 99242 |
|
64 |
62 |
$4K |
| 92550 |
|
360 |
335 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
616 |
593 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$3K |
| 86403 |
|
533 |
484 |
$2K |
| 92553 |
|
345 |
345 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,939 |
1,886 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
327 |
$2K |
| 81000 |
|
925 |
892 |
$1K |
| 87430 |
|
180 |
177 |
$684.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$673.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
50 |
$569.42 |
| 81001 |
|
265 |
263 |
$365.38 |
| 90688 |
|
16 |
16 |
$257.45 |
| 87070 |
|
12 |
12 |
$108.32 |
| 90656 |
|
118 |
118 |
$80.09 |
| 90649 |
|
28 |
28 |
$40.00 |
| 3008F |
|
352 |
307 |
$0.02 |
| 97802 |
|
28 |
25 |
$0.00 |
| 99072 |
|
14 |
12 |
$0.00 |