| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,219 |
25,661 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,935 |
2,821 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,224 |
1,223 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,091 |
1,091 |
$101K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,137 |
2,131 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,460 |
4,443 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,953 |
4,882 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,411 |
1,388 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
471 |
471 |
$45K |
| 87276 |
|
2,896 |
2,864 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,550 |
5,399 |
$40K |
| 87275 |
|
2,876 |
2,845 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
337 |
336 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
738 |
737 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
113 |
$10K |
| 99050 |
|
463 |
454 |
$8K |
| 81000 |
|
1,932 |
1,866 |
$7K |
| 99383 |
|
55 |
55 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
382 |
362 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
204 |
204 |
$2K |
| 87807 |
|
143 |
141 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 99051 |
|
251 |
247 |
$2K |
| 87400 |
|
92 |
92 |
$1K |
| 84703 |
|
92 |
91 |
$658.74 |
| 99490 |
Ccm add 20min |
50 |
50 |
$474.40 |
| 86308 |
|
65 |
65 |
$325.46 |
| 90756 |
|
162 |
162 |
$0.06 |
| 90674 |
|
160 |
160 |
$0.05 |
| 90686 |
|
232 |
232 |
$0.03 |
| 90658 |
|
118 |
118 |
$0.02 |
| 90715 |
|
206 |
206 |
$0.02 |
| 90651 |
|
63 |
63 |
$0.01 |
| 90744 |
|
40 |
40 |
$0.00 |
| 90716 |
|
47 |
47 |
$0.00 |
| 96160 |
|
2,133 |
2,133 |
$0.00 |
| 90700 |
|
635 |
635 |
$0.00 |
| 90713 |
|
172 |
172 |
$0.00 |
| 90734 |
|
77 |
77 |
$0.00 |
| 90648 |
|
117 |
117 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 90707 |
|
34 |
34 |
$0.00 |
| 90649 |
|
19 |
19 |
$0.00 |