| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,176 |
2,926 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,866 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,078 |
1,063 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
895 |
895 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,862 |
1,845 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,896 |
2,864 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
571 |
571 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
724 |
693 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,808 |
3,713 |
$25K |
| 80061 |
Lipid panel |
1,979 |
1,979 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
659 |
640 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
200 |
$17K |
| 83655 |
|
1,698 |
1,689 |
$17K |
| 86580 |
|
1,575 |
1,574 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
760 |
737 |
$11K |
| 90474 |
|
305 |
305 |
$6K |
| 81000 |
|
1,660 |
1,651 |
$5K |
| 87070 |
|
564 |
551 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
469 |
467 |
$3K |
| 99173 |
|
1,160 |
1,160 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 87807 |
|
144 |
137 |
$2K |
| 36416 |
|
72 |
70 |
$341.76 |
| 92552 |
|
12 |
12 |
$165.00 |
| 90686 |
|
521 |
521 |
$52.27 |
| 94760 |
|
45 |
44 |
$1.25 |
| 90680 |
|
366 |
366 |
$0.00 |
| 90716 |
|
121 |
121 |
$0.00 |
| 90744 |
|
109 |
109 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90670 |
|
586 |
586 |
$0.00 |
| 96160 |
|
857 |
855 |
$0.00 |
| 90713 |
|
1,041 |
1,041 |
$0.00 |
| 90700 |
|
1,066 |
1,066 |
$0.00 |
| 90707 |
|
98 |
98 |
$0.00 |
| 90648 |
|
843 |
843 |
$0.00 |
| 90671 |
|
210 |
210 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |