| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,902 |
36,203 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,856 |
10,180 |
$516K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,619 |
2,576 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,404 |
2,250 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,811 |
1,788 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
955 |
937 |
$82K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,810 |
2,736 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,628 |
4,507 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,061 |
1,029 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,175 |
866 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,757 |
1,682 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,611 |
1,519 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
6,049 |
5,644 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
386 |
380 |
$12K |
| 90651 |
|
260 |
255 |
$8K |
| 90474 |
|
855 |
830 |
$6K |
| 90734 |
|
235 |
230 |
$5K |
| 90670 |
|
1,670 |
1,617 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
190 |
$5K |
| 90686 |
|
1,089 |
1,063 |
$5K |
| 90710 |
|
247 |
244 |
$5K |
| 90461 |
|
328 |
316 |
$4K |
| 80053 |
Comprehensive metabolic panel |
306 |
279 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
51 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
544 |
504 |
$2K |
| 90688 |
|
182 |
179 |
$2K |
| 90696 |
|
100 |
98 |
$1K |
| 90633 |
|
630 |
624 |
$1K |
| 85027 |
|
202 |
191 |
$1K |
| 90677 |
|
208 |
199 |
$1K |
| 90715 |
|
134 |
130 |
$979.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$977.24 |
| 0012A |
|
25 |
25 |
$964.80 |
| 0011A |
|
29 |
29 |
$904.32 |
| 80061 |
Lipid panel |
103 |
92 |
$830.97 |
| 90723 |
|
1,434 |
1,382 |
$591.38 |
| 0071A |
|
15 |
15 |
$563.20 |
| 90647 |
|
859 |
824 |
$506.70 |
| 0001A |
|
13 |
12 |
$480.00 |
| 90682 |
|
12 |
12 |
$436.58 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
43 |
43 |
$421.59 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
28 |
$415.34 |
| 90656 |
|
89 |
89 |
$390.44 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$381.28 |
| 74019 |
|
12 |
12 |
$357.56 |
| 81001 |
|
77 |
71 |
$298.61 |
| 90473 |
|
18 |
18 |
$230.14 |
| 90680 |
|
1,056 |
1,016 |
$163.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
37 |
$130.34 |
| 90716 |
|
25 |
24 |
$122.03 |
| 90685 |
|
127 |
127 |
$109.04 |
| 85018 |
|
37 |
36 |
$107.34 |
| 90648 |
|
676 |
657 |
$93.65 |
| 81003 |
|
27 |
26 |
$77.88 |
| 90707 |
|
13 |
12 |
$70.93 |
| 90700 |
|
12 |
12 |
$70.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$69.59 |
| 82570 |
|
18 |
15 |
$52.19 |
| 82044 |
|
18 |
15 |
$46.23 |
| 91307 |
|
35 |
31 |
$0.00 |
| 91301 |
|
67 |
64 |
$0.00 |
| 99177 |
|
372 |
371 |
$0.00 |
| 91300 |
|
17 |
16 |
$0.00 |
| 90681 |
|
44 |
40 |
$0.00 |