| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,009 |
13,734 |
$1.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,524 |
2,490 |
$234K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,525 |
2,396 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,522 |
1,519 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
920 |
919 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,865 |
6,685 |
$65K |
| 92567 |
|
3,495 |
3,242 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
704 |
682 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
308 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,630 |
1,299 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,892 |
5,519 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,830 |
1,752 |
$5K |
| 36406 |
|
400 |
397 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
68 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99442 |
|
36 |
35 |
$845.28 |
| 36415 |
Collection of venous blood by venipuncture |
2,406 |
2,389 |
$525.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$292.48 |
| 90716 |
|
110 |
110 |
$170.00 |
| 90734 |
|
179 |
179 |
$169.89 |
| 99173 |
|
375 |
375 |
$140.07 |
| 90744 |
|
303 |
301 |
$120.45 |
| 90672 |
|
307 |
306 |
$110.56 |
| 81000 |
|
31 |
31 |
$82.84 |
| 90686 |
|
738 |
735 |
$58.21 |
| 90633 |
|
225 |
225 |
$39.32 |
| 90677 |
|
58 |
57 |
$0.03 |
| 90670 |
|
1,058 |
1,054 |
$0.00 |
| 90707 |
|
54 |
54 |
$0.00 |
| 90681 |
|
84 |
84 |
$0.00 |
| 90700 |
|
56 |
56 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90685 |
|
46 |
46 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90698 |
|
345 |
345 |
$0.00 |
| 90619 |
|
48 |
48 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |