| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,249 |
16,988 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,159 |
10,828 |
$841K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,122 |
2,940 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,135 |
2,875 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
911 |
859 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
777 |
731 |
$54K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
187 |
183 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
261 |
233 |
$14K |
| 99381 |
|
257 |
208 |
$13K |
| 83655 |
|
1,423 |
1,320 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$857.02 |
| 99401 |
|
145 |
129 |
$169.74 |
| 90649 |
|
353 |
339 |
$155.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,089 |
5,575 |
$123.29 |
| 92551 |
|
2,098 |
1,896 |
$80.50 |
| 81002 |
|
2,701 |
2,429 |
$79.39 |
| 90723 |
|
2,214 |
2,099 |
$0.65 |
| 90680 |
|
1,951 |
1,855 |
$0.52 |
| 90633 |
|
930 |
876 |
$0.13 |
| 90710 |
|
1,244 |
1,154 |
$0.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,859 |
5,171 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
53 |
$0.00 |
| 90647 |
|
2,123 |
1,984 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
595 |
514 |
$0.00 |
| 90887 |
|
219 |
209 |
$0.00 |
| 90686 |
|
226 |
220 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
109 |
$0.00 |
| 90696 |
|
171 |
158 |
$0.00 |
| 87070 |
|
24 |
12 |
$0.00 |
| 96132 |
|
31 |
28 |
$0.00 |
| 90657 |
|
97 |
90 |
$0.00 |
| 90656 |
|
15 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,852 |
4,452 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,206 |
1,003 |
$0.00 |
| 97803 |
|
2,226 |
1,996 |
$0.00 |
| 90670 |
|
2,835 |
2,652 |
$0.00 |
| 90658 |
|
608 |
548 |
$0.00 |
| 99173 |
|
1,694 |
1,536 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
399 |
354 |
$0.00 |
| 99442 |
|
18 |
18 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
562 |
469 |
$0.00 |
| 80061 |
Lipid panel |
104 |
102 |
$0.00 |
| 90715 |
|
346 |
327 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
996 |
754 |
$0.00 |
| 90473 |
|
65 |
62 |
$0.00 |
| 84146 |
|
26 |
26 |
$0.00 |
| 90734 |
|
302 |
279 |
$0.00 |
| 86756 |
|
216 |
155 |
$0.00 |
| 90700 |
|
130 |
114 |
$0.00 |
| 90461 |
|
382 |
344 |
$0.00 |
| 96138 |
|
22 |
14 |
$0.00 |