| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,383 |
12,243 |
$575K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,490 |
6,534 |
$464K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,767 |
9,478 |
$432K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,273 |
6,792 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,847 |
3,274 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,378 |
2,897 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,141 |
1,799 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,245 |
1,787 |
$130K |
| 92551 |
|
9,439 |
7,815 |
$75K |
| 99177 |
|
11,368 |
9,588 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,820 |
1,684 |
$40K |
| 96127 |
|
7,561 |
6,253 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,986 |
1,788 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,106 |
976 |
$13K |
| 96161 |
|
1,133 |
817 |
$12K |
| 90651 |
|
639 |
475 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
345 |
280 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,721 |
1,448 |
$10K |
| 81003 |
|
4,848 |
3,798 |
$8K |
| 99174 |
|
857 |
797 |
$6K |
| 87428 |
|
106 |
100 |
$6K |
| 99173 |
|
1,106 |
799 |
$5K |
| 90686 |
|
3,894 |
3,361 |
$4K |
| 90670 |
|
1,135 |
977 |
$4K |
| 90734 |
|
235 |
189 |
$3K |
| 0001A |
|
77 |
66 |
$2K |
| 0072A |
|
59 |
49 |
$2K |
| 0002A |
|
47 |
44 |
$2K |
| 36416 |
|
1,391 |
1,149 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 90716 |
|
165 |
117 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
38 |
$1K |
| 0071A |
|
39 |
26 |
$1K |
| 90698 |
|
716 |
621 |
$871.61 |
| 90619 |
|
37 |
28 |
$686.07 |
| 90621 |
|
34 |
27 |
$415.71 |
| 99401 |
|
16 |
15 |
$266.45 |
| 90461 |
|
227 |
153 |
$225.20 |
| 90633 |
|
175 |
132 |
$218.35 |
| 3008F |
|
22 |
18 |
$200.00 |
| 90680 |
|
196 |
167 |
$107.94 |
| 85018 |
|
73 |
53 |
$100.74 |
| 90707 |
|
200 |
149 |
$95.03 |
| 90700 |
|
61 |
50 |
$31.56 |
| 90677 |
|
111 |
85 |
$11.00 |
| 99000 |
|
1,869 |
1,638 |
$6.27 |
| 90744 |
|
115 |
104 |
$1.00 |
| 90656 |
|
79 |
69 |
$1.00 |
| 90674 |
|
79 |
73 |
$0.02 |
| 99080 |
|
1,185 |
963 |
$0.00 |
| 91300 |
|
213 |
150 |
$0.00 |
| 90685 |
|
94 |
81 |
$0.00 |
| 99001 |
|
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$0.00 |
| D1310 |
|
4,994 |
4,242 |
$0.00 |
| 91307 |
|
182 |
138 |
$0.00 |