| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,763 |
5,696 |
$426K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,151 |
4,634 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,206 |
7,394 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,453 |
1,266 |
$76K |
| 99381 |
|
692 |
639 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,065 |
11,651 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,662 |
7,095 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
689 |
646 |
$40K |
| 90670 |
|
3,263 |
2,549 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
980 |
913 |
$25K |
| 90677 |
|
1,072 |
984 |
$21K |
| 87428 |
|
592 |
581 |
$12K |
| 90697 |
|
1,367 |
1,257 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
136 |
115 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
225 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,430 |
3,096 |
$6K |
| 90474 |
|
1,523 |
1,347 |
$4K |
| 90686 |
|
4,078 |
3,753 |
$3K |
| 92552 |
|
1,752 |
1,328 |
$3K |
| 99173 |
|
1,879 |
1,392 |
$2K |
| 2001F |
|
21,829 |
18,366 |
$2K |
| 90651 |
|
141 |
130 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
254 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
33 |
$1K |
| 2010F |
|
7,947 |
6,190 |
$1K |
| 99383 |
|
14 |
13 |
$1K |
| 1022F |
|
1,866 |
1,304 |
$777.14 |
| 90710 |
|
962 |
822 |
$708.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
145 |
$695.48 |
| 1159F |
|
13,700 |
12,023 |
$649.37 |
| 90674 |
|
133 |
119 |
$579.95 |
| 3008F |
|
12,853 |
10,917 |
$548.54 |
| 81001 |
|
205 |
170 |
$548.23 |
| 1160F |
|
13,831 |
12,170 |
$486.37 |
| 1030F |
|
2,576 |
1,841 |
$404.77 |
| 96380 |
|
44 |
43 |
$370.00 |
| 1000F |
|
12,551 |
10,123 |
$317.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
241 |
191 |
$306.20 |
| 1126F |
|
12,954 |
11,227 |
$236.24 |
| 4037F |
|
2,459 |
1,768 |
$235.91 |
| 94760 |
|
1,333 |
1,039 |
$223.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
102 |
42 |
$222.46 |
| 3078F |
|
5,979 |
5,197 |
$214.37 |
| 90633 |
|
1,493 |
1,242 |
$204.48 |
| 90656 |
|
468 |
462 |
$188.59 |
| 90681 |
|
1,369 |
1,198 |
$64.18 |
| 90744 |
|
695 |
486 |
$60.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
34 |
27 |
$55.91 |
| 90698 |
|
1,008 |
858 |
$50.00 |
| 1033F |
|
7,153 |
5,438 |
$49.80 |
| 1111F |
|
1,283 |
1,099 |
$39.58 |
| 90473 |
|
98 |
63 |
$30.00 |
| 1157F |
|
720 |
239 |
$25.22 |
| 90685 |
|
144 |
83 |
$22.61 |
| 90648 |
|
132 |
120 |
$22.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68 |
34 |
$12.96 |
| 0521F |
|
244 |
129 |
$0.01 |
| 2000F |
|
6,074 |
5,276 |
$0.00 |
| 90647 |
|
106 |
88 |
$0.00 |
| 3074F |
|
5,825 |
5,275 |
$0.00 |
| 4000F |
|
167 |
164 |
$0.00 |
| 1220F |
|
947 |
899 |
$0.00 |
| 92551 |
|
526 |
505 |
$0.00 |
| 3044F |
|
15 |
14 |
$0.00 |
| 1036F |
|
70 |
63 |
$0.00 |
| 90716 |
|
19 |
15 |
$0.00 |
| 3352F |
|
14 |
12 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 3351F |
|
28 |
25 |
$0.00 |
| 90696 |
|
21 |
13 |
$0.00 |
| 1158F |
|
967 |
880 |
$0.00 |
| 1018F |
|
800 |
591 |
$0.00 |
| 4035F |
|
2,185 |
1,523 |
$0.00 |
| 4148F |
|
882 |
544 |
$0.00 |
| 4040F |
|
1,520 |
1,092 |
$0.00 |
| 3725F |
|
32 |
30 |
$0.00 |
| 4025F |
|
16 |
15 |
$0.00 |
| 90700 |
|
155 |
140 |
$0.00 |
| 3210F |
|
201 |
167 |
$0.00 |
| 90715 |
|
30 |
13 |
$0.00 |
| 1032F |
|
37 |
37 |
$0.00 |