| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,391 |
16,034 |
$1.05M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,919 |
5,507 |
$503K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,668 |
4,193 |
$408K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,738 |
10,706 |
$357K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,384 |
4,081 |
$356K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,914 |
2,667 |
$238K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,278 |
1,178 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,302 |
10,947 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,362 |
1,304 |
$53K |
| 99381 |
|
397 |
358 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,873 |
4,216 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,538 |
1,130 |
$28K |
| 83655 |
|
1,597 |
1,460 |
$17K |
| 80061 |
Lipid panel |
1,405 |
1,317 |
$15K |
| 81002 |
|
6,738 |
5,934 |
$10K |
| 82947 |
|
1,889 |
1,773 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
301 |
272 |
$4K |
| 0072A |
|
93 |
88 |
$3K |
| 0071A |
|
91 |
86 |
$3K |
| 90461 |
|
7,865 |
7,268 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
79 |
$3K |
| 85004 |
|
415 |
370 |
$2K |
| 99442 |
|
131 |
98 |
$2K |
| 85049 |
|
415 |
370 |
$2K |
| 81003 |
|
695 |
687 |
$1K |
| 85018 |
|
3,224 |
2,816 |
$1K |
| 90473 |
|
64 |
59 |
$694.86 |
| 90686 |
|
1,072 |
983 |
$669.75 |
| 87807 |
|
44 |
41 |
$510.92 |
| 90670 |
|
4,028 |
3,810 |
$190.00 |
| 90619 |
|
51 |
44 |
$156.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
29 |
$82.92 |
| 90697 |
|
573 |
475 |
$68.00 |
| 90647 |
|
3,211 |
3,006 |
$63.15 |
| 90674 |
|
180 |
163 |
$56.26 |
| 96127 |
|
17 |
15 |
$44.57 |
| 36416 |
|
13,801 |
11,815 |
$5.00 |
| 90710 |
|
1,622 |
1,511 |
$0.02 |
| 90633 |
|
1,595 |
1,490 |
$0.01 |
| 90715 |
|
170 |
153 |
$0.00 |
| 90681 |
|
1,741 |
1,572 |
$0.00 |
| 90734 |
|
312 |
289 |
$0.00 |
| 90671 |
|
515 |
408 |
$0.00 |
| 90700 |
|
267 |
252 |
$0.00 |
| 90672 |
|
66 |
61 |
$0.00 |
| 90649 |
|
50 |
50 |
$0.00 |
| 90723 |
|
2,537 |
2,401 |
$0.00 |
| 90696 |
|
237 |
209 |
$0.00 |
| 90651 |
|
167 |
144 |
$0.00 |
| 90680 |
|
54 |
53 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 91307 |
|
160 |
128 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |