| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,443 |
7,541 |
$580K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,013 |
5,153 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,964 |
1,759 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
698 |
680 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,114 |
2,805 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,191 |
2,861 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
486 |
460 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
465 |
438 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
797 |
729 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,371 |
1,276 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,636 |
1,536 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
934 |
877 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
91 |
$8K |
| 36410 |
|
684 |
653 |
$8K |
| 92551 |
|
961 |
928 |
$8K |
| 90461 |
|
555 |
531 |
$8K |
| 90686 |
|
948 |
884 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
44 |
44 |
$3K |
| 99401 |
|
142 |
137 |
$3K |
| 90677 |
|
27 |
25 |
$2K |
| 90670 |
|
41 |
38 |
$905.72 |
| 0071A |
|
20 |
20 |
$800.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$788.70 |
| 99173 |
|
711 |
647 |
$620.62 |
| 90734 |
|
28 |
26 |
$436.85 |
| 36425 |
|
24 |
22 |
$397.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$298.09 |
| 36416 |
|
42 |
42 |
$283.00 |
| 90651 |
|
18 |
13 |
$253.60 |
| 99000 |
|
770 |
673 |
$208.70 |
| 99050 |
|
19 |
19 |
$180.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$130.95 |
| 90633 |
|
12 |
12 |
$110.76 |
| 99051 |
|
100 |
98 |
$90.60 |
| 91307 |
|
61 |
48 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |