| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,570 |
10,924 |
$600K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,799 |
4,960 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,704 |
2,290 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,168 |
1,851 |
$136K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,975 |
3,268 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,846 |
1,616 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,674 |
1,471 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,100 |
962 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,440 |
3,872 |
$40K |
| 92551 |
|
4,256 |
3,676 |
$32K |
| 90677 |
|
296 |
271 |
$25K |
| 99401 |
|
967 |
743 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,191 |
5,216 |
$22K |
| 97802 |
|
4,060 |
3,481 |
$22K |
| 96127 |
|
5,494 |
4,759 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,112 |
1,028 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,932 |
1,645 |
$14K |
| 90686 |
|
1,609 |
1,341 |
$11K |
| 96160 |
|
1,741 |
1,453 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
223 |
$7K |
| 99173 |
|
4,235 |
3,657 |
$7K |
| 81003 |
|
5,031 |
4,247 |
$6K |
| 96161 |
|
1,833 |
1,589 |
$5K |
| 3008F |
|
3,624 |
3,131 |
$5K |
| 81025 |
|
587 |
454 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,595 |
2,168 |
$2K |
| 90670 |
|
1,218 |
1,067 |
$2K |
| 90480 |
|
34 |
31 |
$1K |
| 90651 |
|
550 |
462 |
$1K |
| 0081A |
|
33 |
14 |
$780.32 |
| 90685 |
|
136 |
123 |
$743.76 |
| 99381 |
|
13 |
12 |
$725.22 |
| 90734 |
|
368 |
311 |
$620.54 |
| 0072A |
|
21 |
15 |
$600.00 |
| 90716 |
|
548 |
464 |
$571.65 |
| 0051A |
|
24 |
12 |
$480.00 |
| 0071A |
|
15 |
12 |
$480.00 |
| 90620 |
|
34 |
28 |
$447.50 |
| 90680 |
|
828 |
732 |
$440.50 |
| 90723 |
|
1,049 |
926 |
$329.46 |
| 96380 |
|
17 |
16 |
$300.88 |
| 90707 |
|
491 |
408 |
$252.31 |
| 90461 |
|
384 |
319 |
$220.59 |
| 90648 |
|
1,435 |
1,272 |
$135.93 |
| 90656 |
|
149 |
141 |
$126.46 |
| 90633 |
|
520 |
454 |
$104.19 |
| 36416 |
|
3,664 |
3,137 |
$14.52 |
| 91307 |
|
49 |
29 |
$0.00 |
| 91305 |
|
26 |
16 |
$0.00 |
| 90715 |
|
120 |
98 |
$0.00 |
| 90700 |
|
250 |
198 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90661 |
|
33 |
28 |
$0.00 |
| 91308 |
|
32 |
14 |
$0.00 |