| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,443 |
13,681 |
$989K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,425 |
3,421 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,259 |
3,256 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,598 |
2,509 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,838 |
2,599 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,911 |
1,908 |
$162K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,907 |
6,862 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,672 |
1,616 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,766 |
7,634 |
$51K |
| 90671 |
|
166 |
166 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,176 |
2,170 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,364 |
1,319 |
$18K |
| 96127 |
|
3,532 |
2,808 |
$12K |
| 81002 |
|
4,072 |
4,014 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
886 |
875 |
$9K |
| 83655 |
|
749 |
749 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
331 |
319 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
166 |
164 |
$7K |
| 99188 |
|
534 |
534 |
$4K |
| 99177 |
|
2,234 |
2,232 |
$4K |
| 92558 |
|
1,764 |
1,763 |
$3K |
| 92567 |
|
265 |
248 |
$2K |
| 0071A |
|
58 |
58 |
$2K |
| 87631 |
|
31 |
30 |
$2K |
| 0072A |
|
59 |
59 |
$2K |
| 96160 |
|
1,284 |
1,280 |
$2K |
| 96161 |
|
884 |
798 |
$1K |
| 80061 |
Lipid panel |
51 |
50 |
$498.19 |
| 92551 |
|
76 |
76 |
$475.39 |
| D0190 |
|
26 |
26 |
$408.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
33 |
$363.16 |
| 36416 |
|
159 |
157 |
$272.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$184.27 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
109 |
$143.61 |
| 90670 |
|
1,265 |
1,262 |
$0.00 |
| 90710 |
|
55 |
55 |
$0.00 |
| 90633 |
|
827 |
825 |
$0.00 |
| 90461 |
|
253 |
252 |
$0.00 |
| 99173 |
|
44 |
44 |
$0.00 |
| 90621 |
|
69 |
69 |
$0.00 |
| 90685 |
|
144 |
141 |
$0.00 |
| 90707 |
|
93 |
92 |
$0.00 |
| 90715 |
|
58 |
58 |
$0.00 |
| 90700 |
|
50 |
50 |
$0.00 |
| 90648 |
|
106 |
106 |
$0.00 |
| 90734 |
|
213 |
213 |
$0.00 |
| 90651 |
|
514 |
514 |
$0.00 |
| 90680 |
|
714 |
712 |
$0.00 |
| 90744 |
|
336 |
336 |
$0.00 |
| 90686 |
|
1,944 |
1,939 |
$0.00 |
| 90698 |
|
597 |
595 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 3351F |
|
16 |
16 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90697 |
|
97 |
97 |
$0.00 |
| 90619 |
|
165 |
165 |
$0.00 |
| 90723 |
|
28 |
28 |
$0.00 |
| 90656 |
|
144 |
143 |
$0.00 |