| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,765 |
5,122 |
$485K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,417 |
4,053 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,052 |
1,951 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,918 |
1,801 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,052 |
1,026 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,161 |
1,059 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,496 |
1,270 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,629 |
2,432 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
492 |
467 |
$8K |
| 90670 |
|
475 |
419 |
$5K |
| 90656 |
|
184 |
175 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
972 |
949 |
$3K |
| 90723 |
|
318 |
285 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
200 |
$3K |
| 90734 |
|
124 |
117 |
$3K |
| 90648 |
|
319 |
288 |
$2K |
| 90633 |
|
293 |
258 |
$2K |
| 90680 |
|
251 |
225 |
$2K |
| 90700 |
|
275 |
255 |
$2K |
| 90649 |
|
112 |
98 |
$2K |
| 90707 |
|
220 |
204 |
$2K |
| 90716 |
|
168 |
152 |
$2K |
| 90651 |
|
86 |
84 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
189 |
172 |
$2K |
| 90686 |
|
111 |
110 |
$1K |
| 90671 |
|
63 |
60 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 85018 |
|
311 |
296 |
$833.34 |
| 90713 |
|
93 |
87 |
$704.87 |
| 81002 |
|
240 |
216 |
$629.85 |
| 90647 |
|
53 |
50 |
$551.15 |
| 90655 |
|
19 |
16 |
$220.36 |
| 90698 |
|
12 |
12 |
$213.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
14 |
$196.02 |
| 90714 |
|
13 |
13 |
$162.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
118 |
116 |
$102.19 |
| 90461 |
|
87 |
83 |
$54.68 |
| 94760 |
|
343 |
278 |
$33.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
41 |
$32.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
57 |
$27.56 |
| 90715 |
|
17 |
17 |
$11.00 |