| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,964 |
8,929 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,737 |
1,569 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,076 |
1,058 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
793 |
777 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,754 |
1,370 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,092 |
2,242 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
659 |
653 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,935 |
1,397 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,166 |
1,987 |
$28K |
| 99429 |
|
813 |
805 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,695 |
1,379 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
158 |
$12K |
| 99000 |
|
1,096 |
1,005 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
152 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
527 |
479 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
792 |
753 |
$5K |
| 90461 |
|
838 |
730 |
$4K |
| 87807 |
|
220 |
209 |
$2K |
| CP002 |
|
63 |
57 |
$607.26 |
| 86580 |
|
45 |
45 |
$344.46 |
| 96160 |
|
81 |
74 |
$150.75 |
| 81001 |
|
51 |
40 |
$114.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$83.38 |
| 90686 |
|
678 |
673 |
$19.28 |
| 83655 |
|
39 |
39 |
$0.25 |
| 90671 |
|
295 |
280 |
$0.02 |
| 90723 |
|
42 |
41 |
$0.00 |
| 90656 |
|
71 |
71 |
$0.00 |
| 90680 |
|
356 |
353 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90648 |
|
210 |
208 |
$0.00 |
| 90633 |
|
118 |
117 |
$0.00 |
| 90670 |
|
397 |
392 |
$0.00 |
| 99173 |
|
16 |
15 |
$0.00 |
| 90658 |
|
22 |
22 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 91300 |
|
19 |
13 |
$0.00 |