| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,335 |
18,807 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,790 |
5,622 |
$567K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,002 |
4,995 |
$449K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,490 |
4,303 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,062 |
4,060 |
$361K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,893 |
9,790 |
$284K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,654 |
1,653 |
$162K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,515 |
1,496 |
$62K |
| 92551 |
|
4,025 |
4,014 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,288 |
1,269 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,147 |
2,130 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,858 |
4,848 |
$20K |
| 99460 |
|
201 |
200 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
172 |
172 |
$11K |
| 81002 |
|
3,043 |
3,027 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
929 |
921 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
323 |
$5K |
| 87807 |
|
158 |
156 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 92567 |
|
84 |
82 |
$1K |
| 99441 |
|
33 |
32 |
$791.52 |
| 81000 |
|
120 |
118 |
$449.48 |
| 99173 |
|
436 |
435 |
$238.98 |
| 90686 |
|
2,023 |
2,018 |
$58.81 |
| 96161 |
|
13 |
13 |
$27.62 |
| 36416 |
|
3,630 |
3,613 |
$6.16 |
| 90633 |
|
408 |
402 |
$0.00 |
| 90670 |
|
1,741 |
1,732 |
$0.00 |
| 90734 |
|
139 |
139 |
$0.00 |
| 90648 |
|
1,824 |
1,816 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90681 |
|
118 |
118 |
$0.00 |
| 90707 |
|
288 |
286 |
$0.00 |
| 90677 |
|
150 |
150 |
$0.00 |
| 90723 |
|
1,020 |
1,014 |
$0.00 |
| 90716 |
|
346 |
345 |
$0.00 |
| 94760 |
|
101 |
94 |
$0.00 |
| 90656 |
|
97 |
97 |
$0.00 |
| 90696 |
|
44 |
43 |
$0.00 |
| 90647 |
|
52 |
50 |
$0.00 |