| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,059 |
24,777 |
$1.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,487 |
15,221 |
$1.38M |
| 99199 |
Unlisted special service, procedure or report |
228,633 |
137,052 |
$935K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,819 |
3,554 |
$368K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,934 |
3,459 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,806 |
3,467 |
$342K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,392 |
2,092 |
$232K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,743 |
4,425 |
$158K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,753 |
6,193 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,389 |
2,063 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,628 |
2,682 |
$76K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,759 |
1,581 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,141 |
4,755 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,049 |
1,877 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
210 |
181 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
132 |
$13K |
| 92551 |
|
8,107 |
7,154 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
130 |
$7K |
| 99173 |
|
9,324 |
8,247 |
$6K |
| 99215 |
Prolong outpt/office vis |
56 |
44 |
$5K |
| 87807 |
|
386 |
346 |
$5K |
| 90651 |
|
242 |
216 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
565 |
458 |
$3K |
| 90474 |
|
117 |
115 |
$2K |
| 92552 |
|
541 |
483 |
$2K |
| 96127 |
|
575 |
530 |
$2K |
| 90734 |
|
110 |
107 |
$2K |
| 99051 |
|
58 |
55 |
$1K |
| 99442 |
|
19 |
18 |
$1K |
| 81005 |
|
165 |
149 |
$400.72 |
| 90688 |
|
236 |
187 |
$376.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
18 |
$360.51 |
| 80053 |
Comprehensive metabolic panel |
49 |
42 |
$343.86 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
27 |
$341.70 |
| 90633 |
|
441 |
422 |
$267.81 |
| 36415 |
Collection of venous blood by venipuncture |
136 |
115 |
$240.90 |
| 81003 |
|
98 |
75 |
$202.21 |
| 90649 |
|
59 |
54 |
$164.54 |
| 90715 |
|
16 |
15 |
$116.79 |
| 90686 |
|
277 |
255 |
$85.00 |
| 85014 |
|
12 |
12 |
$5.84 |
| 85018 |
|
12 |
12 |
$5.84 |
| 3078F |
|
6,134 |
5,537 |
$0.00 |
| 90670 |
|
1,974 |
1,887 |
$0.00 |
| 90710 |
|
168 |
164 |
$0.00 |
| 99072 |
|
1,606 |
1,480 |
$0.00 |
| 3077F |
|
117 |
104 |
$0.00 |
| 90681 |
|
55 |
53 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90647 |
|
872 |
833 |
$0.00 |
| 3074F |
|
6,473 |
5,823 |
$0.00 |
| 90723 |
|
1,066 |
1,028 |
$0.00 |
| 3075F |
|
339 |
319 |
$0.00 |
| 3079F |
|
890 |
817 |
$0.00 |
| 90680 |
|
220 |
208 |
$0.00 |
| 3008F |
|
16 |
14 |
$0.00 |
| 99000 |
|
48 |
38 |
$0.00 |
| 3044F |
|
34 |
29 |
$0.00 |
| 90696 |
|
69 |
67 |
$0.00 |