| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,818 |
24,128 |
$1.82M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,692 |
5,605 |
$408K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,795 |
4,769 |
$384K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,511 |
3,501 |
$281K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,813 |
4,778 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,093 |
2,090 |
$185K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,914 |
6,810 |
$124K |
| 90671 |
|
693 |
690 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,113 |
6,049 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,679 |
3,660 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,168 |
2,094 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,633 |
1,538 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
836 |
825 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,156 |
3,082 |
$21K |
| 99462 |
|
494 |
264 |
$12K |
| 99460 |
|
212 |
211 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
135 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
727 |
718 |
$10K |
| 83655 |
|
620 |
619 |
$6K |
| 99381 |
|
60 |
60 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
494 |
486 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
347 |
345 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 81001 |
|
800 |
777 |
$2K |
| 90651 |
|
399 |
398 |
$2K |
| 87081 |
|
239 |
227 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99174 |
|
311 |
311 |
$1K |
| 90661 |
|
126 |
126 |
$1K |
| 96380 |
|
33 |
32 |
$780.00 |
| 81002 |
|
265 |
251 |
$711.98 |
| 90686 |
|
1,503 |
1,495 |
$696.90 |
| 90619 |
|
340 |
340 |
$643.05 |
| 90620 |
|
26 |
26 |
$378.43 |
| 90674 |
|
312 |
312 |
$317.24 |
| 90716 |
|
405 |
403 |
$228.77 |
| 81000 |
|
82 |
77 |
$222.12 |
| 90715 |
|
249 |
249 |
$148.95 |
| 90734 |
|
283 |
282 |
$90.93 |
| 90688 |
|
48 |
47 |
$37.46 |
| 90633 |
|
1,617 |
1,606 |
$0.00 |
| 90681 |
|
1,047 |
1,041 |
$0.00 |
| 99173 |
|
111 |
111 |
$0.00 |
| 90700 |
|
373 |
370 |
$0.00 |
| 90670 |
|
2,409 |
2,384 |
$0.00 |
| 90710 |
|
410 |
408 |
$0.00 |
| 90707 |
|
455 |
453 |
$0.00 |
| 90648 |
|
58 |
57 |
$0.00 |
| 90461 |
|
92 |
88 |
$0.00 |
| 90697 |
|
463 |
462 |
$0.00 |
| 90698 |
|
1,796 |
1,780 |
$0.00 |
| 90647 |
|
360 |
356 |
$0.00 |
| 90744 |
|
991 |
983 |
$0.00 |
| 90696 |
|
428 |
427 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |