| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,336 |
6,965 |
$502K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,947 |
4,921 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,443 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,473 |
1,473 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,539 |
1,510 |
$132K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
716 |
699 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,099 |
1,068 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
294 |
$26K |
| 87430 |
|
1,828 |
1,774 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,246 |
1,238 |
$9K |
| 0071A |
|
34 |
31 |
$1K |
| 87807 |
|
81 |
79 |
$945.02 |
| 87070 |
|
97 |
94 |
$808.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
90 |
$726.88 |
| 83655 |
|
37 |
37 |
$418.38 |
| 81000 |
|
73 |
73 |
$239.86 |
| 99173 |
|
68 |
68 |
$159.08 |
| 96127 |
|
14 |
14 |
$60.48 |
| 96160 |
|
281 |
280 |
$0.00 |
| 90670 |
|
195 |
195 |
$0.00 |
| 90633 |
|
54 |
54 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90686 |
|
751 |
751 |
$0.00 |
| 90698 |
|
58 |
58 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |