| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,218 |
7,183 |
$548K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,100 |
2,929 |
$299K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,200 |
2,192 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,222 |
2,131 |
$158K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,768 |
5,687 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,312 |
1,311 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
506 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,417 |
4,374 |
$29K |
| 99215 |
Prolong outpt/office vis |
157 |
153 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,288 |
1,240 |
$17K |
| 96127 |
|
2,981 |
2,907 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
178 |
$7K |
| 36416 |
|
2,851 |
2,814 |
$7K |
| 81003 |
|
3,091 |
2,993 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
239 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
408 |
407 |
$4K |
| 90671 |
|
102 |
101 |
$3K |
| 83655 |
|
153 |
152 |
$2K |
| 90480 |
|
32 |
31 |
$1K |
| 0111A |
|
28 |
28 |
$927.72 |
| 80061 |
Lipid panel |
49 |
48 |
$647.61 |
| 90686 |
|
1,258 |
1,256 |
$309.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$191.91 |
| 90651 |
|
163 |
161 |
$25.00 |
| 90677 |
|
22 |
22 |
$25.00 |
| 90633 |
|
561 |
558 |
$0.00 |
| 90670 |
|
1,250 |
1,244 |
$0.00 |
| 90700 |
|
50 |
50 |
$0.00 |
| 90707 |
|
435 |
433 |
$0.00 |
| 90461 |
|
2,652 |
2,627 |
$0.00 |
| 91321 |
|
31 |
31 |
$0.00 |
| 90713 |
|
40 |
40 |
$0.00 |
| 90734 |
|
44 |
43 |
$0.00 |
| 90698 |
|
1,527 |
1,516 |
$0.00 |
| 90680 |
|
789 |
786 |
$0.00 |
| 90716 |
|
422 |
420 |
$0.00 |
| 90744 |
|
470 |
469 |
$0.00 |
| 90674 |
|
93 |
93 |
$0.00 |
| 99050 |
|
13 |
12 |
$0.00 |
| 3048F |
|
123 |
121 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |