| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,402 |
11,338 |
$865K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,135 |
2,825 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,873 |
4,691 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,267 |
2,160 |
$209K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,062 |
1,041 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,618 |
1,511 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
485 |
478 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,686 |
1,764 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,068 |
1,000 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,109 |
3,992 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,847 |
1,719 |
$27K |
| 87807 |
|
729 |
684 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,446 |
1,370 |
$10K |
| 99460 |
|
94 |
86 |
$8K |
| 92552 |
|
2,095 |
2,050 |
$5K |
| 81003 |
|
1,812 |
1,758 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
41 |
$4K |
| 99173 |
|
2,104 |
2,056 |
$4K |
| 36416 |
|
4,218 |
4,091 |
$3K |
| 97802 |
|
2,904 |
2,854 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,849 |
2,801 |
$2K |
| 99050 |
|
175 |
165 |
$2K |
| 90671 |
|
75 |
72 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$1K |
| 90677 |
|
240 |
237 |
$748.00 |
| 99051 |
|
13 |
13 |
$45.00 |
| 90656 |
|
16 |
16 |
$44.70 |
| 90670 |
|
1,793 |
1,732 |
$25.00 |
| 90744 |
|
910 |
893 |
$0.00 |
| 90680 |
|
1,236 |
1,209 |
$0.00 |
| 90698 |
|
1,735 |
1,682 |
$0.00 |
| 90651 |
|
136 |
128 |
$0.00 |
| 90686 |
|
368 |
356 |
$0.00 |
| 90619 |
|
14 |
12 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90633 |
|
662 |
637 |
$0.00 |
| 90710 |
|
431 |
423 |
$0.00 |
| 90734 |
|
57 |
56 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90685 |
|
18 |
18 |
$0.00 |