| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,627 |
9,672 |
$709K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,069 |
1,953 |
$209K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,315 |
4,013 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
986 |
935 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
793 |
699 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
536 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,987 |
5,155 |
$67K |
| 87428 |
|
527 |
507 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
215 |
$31K |
| 99401 |
|
3,947 |
3,736 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,631 |
2,341 |
$23K |
| 90461 |
|
1,671 |
1,546 |
$19K |
| 92552 |
|
1,147 |
1,089 |
$10K |
| 99188 |
|
272 |
263 |
$6K |
| 81002 |
|
4,025 |
3,688 |
$3K |
| 85018 |
|
5,308 |
4,998 |
$3K |
| 86580 |
|
1,270 |
1,189 |
$2K |
| 99173 |
|
1,329 |
1,217 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
179 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
363 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,021 |
941 |
$935.73 |
| 90686 |
|
763 |
725 |
$838.50 |
| 92567 |
|
30 |
27 |
$283.11 |
| 87081 |
|
140 |
131 |
$86.02 |
| 96127 |
|
157 |
146 |
$77.07 |
| 90670 |
|
28 |
27 |
$72.02 |
| 87400 |
|
52 |
26 |
$12.10 |
| 90744 |
|
13 |
12 |
$10.00 |
| 90671 |
|
30 |
27 |
$10.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
22 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 90656 |
|
53 |
52 |
$0.00 |
| 99000 |
|
14 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 99072 |
|
472 |
416 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |