| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,422 |
5,572 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,150 |
1,902 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,002 |
1,720 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,611 |
1,538 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
349 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
622 |
566 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,250 |
2,091 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,272 |
1,179 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
802 |
502 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
206 |
$13K |
| 36416 |
|
2,240 |
2,078 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
95 |
$6K |
| 99177 |
|
507 |
484 |
$5K |
| 92551 |
|
688 |
666 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
56 |
55 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
17 |
$2K |
| 99173 |
|
53 |
52 |
$409.59 |
| 92552 |
|
18 |
18 |
$257.21 |
| 90461 |
|
604 |
581 |
$207.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$128.19 |
| 90686 |
|
79 |
78 |
$63.39 |
| 81003 |
|
14 |
12 |
$32.04 |
| 90656 |
|
15 |
15 |
$25.00 |
| 90670 |
|
55 |
54 |
$0.00 |
| 90698 |
|
87 |
86 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |