| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,166 |
11,054 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,843 |
$121K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,247 |
4,016 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
559 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
584 |
557 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
533 |
502 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,624 |
4,420 |
$32K |
| 90461 |
|
1,320 |
1,103 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,534 |
1,428 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,561 |
758 |
$20K |
| 90686 |
|
1,655 |
1,602 |
$9K |
| 82465 |
|
1,879 |
1,811 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
562 |
550 |
$6K |
| 87081 |
|
954 |
882 |
$6K |
| 36416 |
|
4,808 |
4,556 |
$6K |
| 99050 |
|
594 |
556 |
$5K |
| 81003 |
|
2,594 |
2,473 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$4K |
| 90633 |
|
140 |
131 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
96 |
$2K |
| 90670 |
|
187 |
179 |
$2K |
| 90648 |
|
172 |
165 |
$936.76 |
| 87428 |
|
25 |
24 |
$684.26 |
| 90723 |
|
14 |
14 |
$251.40 |
| 3008F |
|
975 |
949 |
$0.74 |
| 2014F |
|
81 |
80 |
$0.15 |
| 99000 |
|
231 |
221 |
$0.00 |
| 90656 |
|
45 |
44 |
$0.00 |