| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,583 |
8,490 |
$361K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,297 |
2,082 |
$135K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,148 |
991 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
889 |
841 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
736 |
671 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,084 |
994 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,572 |
2,388 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,102 |
971 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,285 |
2,137 |
$25K |
| 87999 |
|
1,009 |
936 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
103 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
234 |
$4K |
| 81001 |
|
769 |
733 |
$3K |
| 83655 |
|
166 |
158 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
214 |
$2K |
| 90670 |
|
657 |
628 |
$2K |
| 90686 |
|
587 |
555 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$971.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$888.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$887.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
24 |
$711.09 |
| 90698 |
|
599 |
547 |
$648.48 |
| 36416 |
|
167 |
159 |
$522.60 |
| 90680 |
|
539 |
488 |
$358.13 |
| 90716 |
|
102 |
95 |
$340.00 |
| 90677 |
|
155 |
117 |
$300.00 |
| 92583 |
|
17 |
16 |
$280.00 |
| 90707 |
|
89 |
83 |
$201.94 |
| 87807 |
|
14 |
14 |
$166.56 |
| 99173 |
|
18 |
17 |
$159.84 |
| 90744 |
|
290 |
265 |
$97.25 |
| 90656 |
|
44 |
41 |
$60.00 |
| 96127 |
|
12 |
12 |
$55.00 |
| 90633 |
|
253 |
244 |
$43.64 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |