| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,514 |
6,138 |
$443K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,723 |
3,483 |
$300K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,332 |
2,272 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,428 |
1,152 |
$81K |
| 99460 |
|
1,332 |
958 |
$64K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
199 |
181 |
$63K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,165 |
835 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,123 |
2,283 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,590 |
2,946 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,437 |
3,372 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
546 |
464 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
733 |
413 |
$25K |
| 92552 |
|
1,421 |
1,105 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,451 |
1,205 |
$25K |
| 87070 |
|
896 |
688 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
1,456 |
1,124 |
$13K |
| 81002 |
|
2,019 |
1,485 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
152 |
$10K |
| 99401 |
|
212 |
164 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
68 |
$6K |
| 90686 |
|
1,662 |
1,433 |
$5K |
| 87276 |
|
106 |
84 |
$4K |
| 87275 |
|
106 |
84 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
227 |
159 |
$3K |
| 54162 |
|
22 |
20 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
59 |
$2K |
| 17250 |
|
80 |
25 |
$2K |
| 99173 |
|
1,205 |
962 |
$2K |
| 96127 |
|
494 |
454 |
$1K |
| 80053 |
Comprehensive metabolic panel |
71 |
51 |
$1K |
| 90474 |
|
192 |
159 |
$1K |
| 90670 |
|
453 |
328 |
$402.25 |
| 99188 |
|
19 |
18 |
$311.70 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
18 |
$271.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$69.42 |
| 90680 |
|
224 |
159 |
$0.00 |
| 90698 |
|
86 |
66 |
$0.00 |
| 90744 |
|
18 |
12 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90671 |
|
33 |
27 |
$0.00 |
| 90648 |
|
51 |
28 |
$0.00 |