| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,632 |
3,226 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,893 |
3,471 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,718 |
1,712 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,695 |
1,590 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,089 |
2,064 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
517 |
517 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,350 |
2,319 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
323 |
300 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
377 |
$5K |
| 87428 |
|
184 |
181 |
$4K |
| 80061 |
Lipid panel |
440 |
438 |
$4K |
| 36416 |
|
1,283 |
1,228 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
304 |
293 |
$3K |
| 99177 |
|
906 |
903 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
53 |
$1K |
| 83655 |
|
135 |
135 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
118 |
$1K |
| 87807 |
|
59 |
59 |
$557.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
28 |
$427.80 |
| 92587 |
|
12 |
12 |
$159.57 |
| 96160 |
|
78 |
65 |
$109.29 |
| 81003 |
|
46 |
44 |
$105.34 |
| 96127 |
|
12 |
12 |
$46.08 |
| 99000 |
|
14 |
13 |
$17.47 |
| 90461 |
|
448 |
447 |
$0.00 |
| 90670 |
|
175 |
175 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 3048F |
|
185 |
185 |
$0.00 |
| 90686 |
|
167 |
166 |
$0.00 |
| 90698 |
|
68 |
68 |
$0.00 |