| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,775 |
9,517 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,231 |
4,376 |
$287K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,354 |
3,000 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,575 |
2,275 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,353 |
2,076 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,300 |
1,089 |
$92K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,473 |
3,100 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,818 |
5,123 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,127 |
2,613 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,552 |
962 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
945 |
722 |
$31K |
| 80050 |
General health panel |
540 |
462 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,823 |
2,417 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,910 |
2,486 |
$9K |
| 83655 |
|
1,144 |
1,041 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
976 |
894 |
$7K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
162 |
150 |
$5K |
| 87081 |
|
805 |
686 |
$5K |
| 81003 |
|
2,048 |
1,710 |
$5K |
| 99173 |
|
3,100 |
2,723 |
$4K |
| 92567 |
|
228 |
194 |
$2K |
| 99383 |
|
29 |
27 |
$2K |
| 87807 |
|
215 |
187 |
$2K |
| 90670 |
|
1,325 |
1,197 |
$855.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
15 |
$485.16 |
| 96160 |
|
176 |
164 |
$339.82 |
| 90710 |
|
457 |
418 |
$250.00 |
| 90651 |
|
386 |
329 |
$214.32 |
| 90698 |
|
797 |
721 |
$190.48 |
| 90686 |
|
850 |
744 |
$124.88 |
| 90680 |
|
703 |
625 |
$105.45 |
| 0513F |
|
27 |
13 |
$80.00 |
| 90685 |
|
107 |
101 |
$77.72 |
| 90744 |
|
158 |
136 |
$77.31 |
| 99000 |
|
29 |
27 |
$72.64 |
| 90700 |
|
301 |
257 |
$69.56 |
| 90633 |
|
579 |
520 |
$52.70 |
| 90713 |
|
97 |
77 |
$48.94 |
| 90677 |
|
185 |
169 |
$40.96 |
| 90734 |
|
100 |
96 |
$9.60 |
| 3008F |
|
764 |
639 |
$1.46 |
| 3085F |
|
177 |
165 |
$0.00 |
| 90715 |
|
37 |
29 |
$0.00 |
| 90619 |
|
47 |
36 |
$0.00 |
| 90696 |
|
30 |
28 |
$0.00 |