| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,374 |
10,445 |
$711K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,843 |
1,797 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,863 |
1,836 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,740 |
1,715 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,318 |
5,230 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,221 |
1,196 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,297 |
1,248 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
406 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,914 |
2,853 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
291 |
$4K |
| 96127 |
|
1,192 |
1,158 |
$4K |
| 96160 |
|
1,804 |
1,720 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
43 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
173 |
165 |
$2K |
| 81002 |
|
768 |
734 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$368.55 |
| 90658 |
|
139 |
132 |
$287.70 |
| 90461 |
|
386 |
376 |
$280.00 |
| 97802 |
|
405 |
389 |
$151.65 |
| 90687 |
|
51 |
51 |
$9.87 |
| 90688 |
|
1,143 |
1,136 |
$0.00 |
| 90723 |
|
269 |
265 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
570 |
567 |
$0.00 |
| 90744 |
|
91 |
91 |
$0.00 |
| 90698 |
|
252 |
252 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90651 |
|
479 |
476 |
$0.00 |
| 90647 |
|
523 |
511 |
$0.00 |
| 90696 |
|
72 |
72 |
$0.00 |
| 90670 |
|
1,246 |
1,235 |
$0.00 |
| 3725F |
|
726 |
720 |
$0.00 |
| 90715 |
|
98 |
98 |
$0.00 |
| 90734 |
|
385 |
380 |
$0.00 |
| 90710 |
|
190 |
187 |
$0.00 |
| 90633 |
|
581 |
576 |
$0.00 |
| 90681 |
|
263 |
258 |
$0.00 |
| 90700 |
|
132 |
131 |
$0.00 |
| 90707 |
|
51 |
51 |
$0.00 |
| 90713 |
|
23 |
23 |
$0.00 |