| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,345 |
5,945 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,933 |
3,143 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,507 |
1,208 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,634 |
2,910 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,158 |
887 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,141 |
962 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,406 |
988 |
$64K |
| 87428 |
|
1,250 |
953 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
633 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,080 |
1,710 |
$52K |
| 92587 |
|
2,151 |
1,598 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,388 |
3,009 |
$29K |
| 92552 |
|
1,637 |
1,216 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
565 |
417 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
315 |
235 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,331 |
722 |
$14K |
| 96127 |
|
3,264 |
2,427 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
116 |
$11K |
| 96160 |
|
1,466 |
1,019 |
$9K |
| 99174 |
|
1,337 |
992 |
$7K |
| 85018 |
|
4,329 |
3,181 |
$7K |
| 90651 |
|
235 |
170 |
$6K |
| 99177 |
|
1,332 |
1,008 |
$5K |
| 99381 |
|
90 |
75 |
$5K |
| 99383 |
|
78 |
58 |
$5K |
| 81003 |
|
3,128 |
2,260 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
249 |
$3K |
| 36416 |
|
2,970 |
2,224 |
$3K |
| 96161 |
|
770 |
608 |
$3K |
| 99382 |
|
55 |
33 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
54 |
$2K |
| 90734 |
|
81 |
62 |
$2K |
| 87807 |
|
234 |
157 |
$1K |
| 99384 |
|
24 |
20 |
$1K |
| 85014 |
|
2,879 |
2,077 |
$1K |
| 90670 |
|
1,003 |
793 |
$1K |
| 3008F |
|
2,327 |
1,631 |
$970.00 |
| 83655 |
|
108 |
83 |
$698.61 |
| 90461 |
|
673 |
564 |
$584.50 |
| 90686 |
|
883 |
729 |
$563.04 |
| 90680 |
|
411 |
321 |
$438.87 |
| 90698 |
|
415 |
320 |
$381.93 |
| 90697 |
|
56 |
54 |
$302.20 |
| 90715 |
|
19 |
13 |
$163.20 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
72 |
$142.73 |
| 87420 |
|
77 |
36 |
$86.94 |
| 90744 |
|
126 |
108 |
$62.90 |
| 94760 |
|
441 |
358 |
$29.34 |
| 90696 |
|
19 |
14 |
$0.00 |
| 90716 |
|
64 |
51 |
$0.00 |
| 90707 |
|
63 |
50 |
$0.00 |
| 90633 |
|
73 |
57 |
$0.00 |
| 90710 |
|
17 |
13 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 90700 |
|
19 |
12 |
$0.00 |