| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,531 |
6,535 |
$1.03M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
781 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
615 |
615 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
620 |
619 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
479 |
474 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,630 |
2,618 |
$78K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
799 |
789 |
$44K |
| 99441 |
|
527 |
516 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
658 |
657 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
972 |
944 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
678 |
677 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,466 |
1,402 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
169 |
$8K |
| 96127 |
|
959 |
909 |
$7K |
| 99408 |
|
97 |
97 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
235 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
22 |
$3K |
| 99406 |
|
131 |
131 |
$3K |
| 87899 |
|
209 |
200 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
66 |
$3K |
| 96161 |
|
481 |
481 |
$2K |
| 83655 |
|
183 |
183 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$910.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$619.20 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$586.88 |
| 87420 |
|
42 |
42 |
$519.54 |
| 92551 |
|
28 |
28 |
$508.49 |
| 82977 |
|
37 |
36 |
$236.80 |
| 87807 |
|
13 |
13 |
$151.45 |
| 84550 |
|
37 |
36 |
$148.74 |
| 99173 |
|
25 |
25 |
$118.98 |
| 82150 |
|
12 |
12 |
$69.12 |
| 90686 |
|
528 |
527 |
$20.18 |
| 96160 |
|
1,525 |
1,523 |
$0.00 |
| 90633 |
|
171 |
171 |
$0.00 |
| 90681 |
|
159 |
159 |
$0.00 |
| 90670 |
|
720 |
720 |
$0.00 |
| 90710 |
|
58 |
58 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90647 |
|
507 |
507 |
$0.00 |
| 90723 |
|
496 |
496 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90651 |
|
70 |
70 |
$0.00 |
| 91307 |
|
22 |
22 |
$0.00 |