| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,014 |
25,034 |
$2.05M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,437 |
2,431 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,234 |
2,233 |
$211K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,930 |
6,906 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,761 |
1,728 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,570 |
1,570 |
$139K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,407 |
2,372 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
819 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,125 |
2,124 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,757 |
3,712 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
678 |
674 |
$29K |
| 99381 |
|
290 |
290 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,754 |
1,724 |
$26K |
| 99408 |
|
789 |
789 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,570 |
1,569 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,632 |
1,620 |
$11K |
| 99406 |
|
801 |
801 |
$11K |
| 87899 |
|
743 |
739 |
$11K |
| 96127 |
|
2,376 |
2,374 |
$10K |
| 83655 |
|
733 |
733 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
386 |
360 |
$8K |
| 96161 |
|
1,118 |
1,118 |
$6K |
| 87807 |
|
266 |
260 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$3K |
| 0071A |
|
49 |
49 |
$2K |
| 92551 |
|
160 |
160 |
$2K |
| 0001A |
|
35 |
34 |
$1K |
| 0072A |
|
23 |
23 |
$920.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$623.56 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
18 |
$524.59 |
| 74019 |
|
15 |
14 |
$479.70 |
| 99442 |
|
15 |
15 |
$371.25 |
| 99173 |
|
150 |
150 |
$368.11 |
| 36416 |
|
15 |
15 |
$40.05 |
| 90686 |
|
1,420 |
1,420 |
$0.02 |
| 90620 |
|
178 |
178 |
$0.01 |
| 90723 |
|
1,278 |
1,278 |
$0.00 |
| 90647 |
|
1,293 |
1,293 |
$0.00 |
| 90696 |
|
138 |
138 |
$0.00 |
| 90677 |
|
149 |
149 |
$0.00 |
| 90651 |
|
606 |
606 |
$0.00 |
| 91307 |
|
75 |
71 |
$0.00 |
| 90716 |
|
136 |
136 |
$0.00 |
| 96160 |
|
4,633 |
4,632 |
$0.00 |
| 90670 |
|
1,464 |
1,464 |
$0.00 |
| 90681 |
|
625 |
625 |
$0.00 |
| 90633 |
|
756 |
756 |
$0.00 |
| 90707 |
|
133 |
133 |
$0.00 |
| 90710 |
|
191 |
191 |
$0.00 |
| 90671 |
|
37 |
37 |
$0.00 |
| 90734 |
|
572 |
572 |
$0.00 |
| 90715 |
|
259 |
259 |
$0.00 |
| 91300 |
|
89 |
87 |
$0.00 |
| 90700 |
|
100 |
100 |
$0.00 |
| 90672 |
|
51 |
51 |
$0.00 |