| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,599 |
3,037 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
828 |
696 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
655 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,037 |
922 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
858 |
706 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
538 |
470 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
418 |
358 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
232 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
628 |
564 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
578 |
301 |
$8K |
| 99173 |
|
990 |
866 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
906 |
767 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
76 |
73 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
428 |
377 |
$6K |
| 92551 |
|
499 |
448 |
$3K |
| 90670 |
|
505 |
434 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
72 |
$1K |
| 90698 |
|
505 |
434 |
$874.17 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
67 |
53 |
$649.98 |
| 96127 |
|
136 |
123 |
$584.62 |
| 90461 |
|
491 |
419 |
$464.72 |
| 90474 |
|
56 |
51 |
$441.69 |
| 90680 |
|
227 |
183 |
$230.78 |
| 36416 |
|
80 |
65 |
$214.96 |
| 90686 |
|
368 |
299 |
$104.59 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$36.85 |
| 90744 |
|
30 |
28 |
$34.07 |
| 90688 |
|
16 |
14 |
$18.77 |
| 90685 |
|
34 |
31 |
$1.12 |
| 3008F |
|
1,678 |
1,425 |
$0.00 |
| 90651 |
|
37 |
30 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
54 |
44 |
$0.00 |