| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,005 |
14,168 |
$545K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,782 |
6,070 |
$265K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,534 |
2,426 |
$186K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,154 |
2,052 |
$173K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,372 |
4,816 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,797 |
5,188 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,006 |
1,880 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,196 |
1,113 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,292 |
2,120 |
$27K |
| 99000 |
|
2,448 |
2,218 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
283 |
$20K |
| 99429 |
|
469 |
431 |
$14K |
| 90461 |
|
2,667 |
2,017 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
181 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,012 |
721 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
200 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 90686 |
|
1,797 |
1,724 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,459 |
2,186 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
295 |
$981.20 |
| 90649 |
|
828 |
796 |
$414.96 |
| 90620 |
|
356 |
335 |
$194.13 |
| 81003 |
|
89 |
81 |
$193.98 |
| 90715 |
|
200 |
187 |
$163.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$146.70 |
| 96161 |
|
29 |
29 |
$52.30 |
| 90734 |
|
675 |
626 |
$3.54 |
| 90677 |
|
12 |
12 |
$1.08 |
| 90670 |
|
357 |
326 |
$0.35 |
| 90648 |
|
105 |
94 |
$0.35 |
| 90680 |
|
52 |
44 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90633 |
|
76 |
67 |
$0.00 |
| 90710 |
|
58 |
54 |
$0.00 |