| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,285 |
10,470 |
$850K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,289 |
2,061 |
$227K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,848 |
1,770 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
449 |
441 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,391 |
1,313 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
201 |
201 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
241 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
230 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
139 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
172 |
$16K |
| 99051 |
|
3,234 |
2,926 |
$15K |
| 92552 |
|
616 |
614 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
150 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
193 |
167 |
$12K |
| 92551 |
|
1,236 |
1,205 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,143 |
2,064 |
$8K |
| 99050 |
|
549 |
472 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
447 |
$5K |
| 90688 |
|
768 |
749 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
100 |
$3K |
| 81000 |
|
992 |
954 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
198 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
97 |
$1K |
| 90480 |
|
25 |
25 |
$1K |
| 99172 |
|
449 |
448 |
$848.32 |
| 0003A |
|
21 |
21 |
$806.22 |
| 90658 |
|
112 |
112 |
$768.63 |
| 0071A |
|
14 |
14 |
$552.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$351.03 |
| 86580 |
|
34 |
21 |
$192.47 |
| 99000 |
|
79 |
73 |
$158.84 |
| 96160 |
|
18 |
18 |
$16.36 |
| 90685 |
|
13 |
12 |
$0.00 |
| 91300 |
|
21 |
21 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 97802 |
|
659 |
642 |
$0.00 |
| 91307 |
|
18 |
18 |
$0.00 |