| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,496 |
2,967 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
963 |
869 |
$53K |
| 87631 |
|
355 |
342 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
689 |
632 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
343 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
327 |
$18K |
| 99188 |
|
732 |
659 |
$12K |
| 90697 |
|
517 |
469 |
$7K |
| 90671 |
|
533 |
520 |
$7K |
| 87428 |
|
91 |
90 |
$6K |
| 90680 |
|
474 |
434 |
$6K |
| 92551 |
|
402 |
385 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
271 |
255 |
$3K |
| 90686 |
|
184 |
174 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
309 |
273 |
$2K |
| 87807 |
|
143 |
127 |
$2K |
| 90633 |
|
130 |
119 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
338 |
333 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$1K |
| 99460 |
|
13 |
12 |
$1K |
| 90656 |
|
67 |
66 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
80 |
$1K |
| 99383 |
|
16 |
16 |
$976.16 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
22 |
$918.17 |
| 99381 |
|
20 |
14 |
$732.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$718.88 |
| 69210 |
|
24 |
14 |
$667.90 |
| 90670 |
|
83 |
37 |
$459.90 |
| 96127 |
|
120 |
103 |
$409.16 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
160 |
$171.00 |
| 90381 |
|
13 |
13 |
$170.82 |
| 90380 |
|
13 |
12 |
$157.68 |
| 96161 |
|
63 |
60 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
55 |
$0.00 |
| 99177 |
|
439 |
426 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
88 |
39 |
$0.00 |