| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,057 |
21,836 |
$1.06M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,354 |
11,911 |
$573K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,768 |
6,085 |
$482K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,110 |
4,680 |
$328K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,489 |
3,033 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,094 |
3,615 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,352 |
1,176 |
$104K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,738 |
3,462 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,105 |
1,028 |
$73K |
| 87428 |
|
1,326 |
1,284 |
$70K |
| 96127 |
|
8,996 |
7,909 |
$35K |
| 92551 |
|
4,124 |
3,704 |
$29K |
| 99173 |
|
5,418 |
4,851 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,424 |
3,006 |
$21K |
| 96161 |
|
1,392 |
1,252 |
$19K |
| 87430 |
|
1,656 |
1,599 |
$18K |
| 99381 |
|
240 |
206 |
$15K |
| 96160 |
|
1,967 |
1,691 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,038 |
1,000 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
574 |
534 |
$13K |
| 83655 |
|
1,233 |
1,098 |
$12K |
| 3008F |
|
10,778 |
9,536 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,215 |
1,142 |
$10K |
| 90677 |
|
725 |
692 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
164 |
$5K |
| 90461 |
|
7,272 |
6,504 |
$5K |
| 90670 |
|
3,648 |
3,352 |
$5K |
| 90651 |
|
696 |
595 |
$4K |
| 36416 |
|
3,369 |
2,933 |
$4K |
| 90716 |
|
1,471 |
1,271 |
$2K |
| 87420 |
|
177 |
170 |
$2K |
| 90686 |
|
4,344 |
3,884 |
$2K |
| 90707 |
|
1,481 |
1,278 |
$1K |
| 90633 |
|
1,836 |
1,651 |
$802.49 |
| 90734 |
|
187 |
158 |
$754.51 |
| 90723 |
|
1,655 |
1,532 |
$700.12 |
| 94760 |
|
630 |
559 |
$610.61 |
| 90681 |
|
1,336 |
1,233 |
$549.81 |
| 87807 |
|
42 |
41 |
$364.32 |
| 81002 |
|
183 |
156 |
$332.83 |
| 90648 |
|
3,021 |
2,787 |
$330.08 |
| 96380 |
|
14 |
13 |
$291.09 |
| 87400 |
|
22 |
22 |
$284.40 |
| 85018 |
|
108 |
97 |
$244.32 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
39 |
31 |
$224.00 |
| 90696 |
|
154 |
132 |
$155.53 |
| 90698 |
|
152 |
147 |
$111.30 |
| 90656 |
|
99 |
96 |
$42.79 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$25.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
69 |
$20.39 |
| 90674 |
|
301 |
290 |
$0.00 |
| 99000 |
|
5,397 |
4,958 |
$0.00 |
| 90381 |
|
14 |
12 |
$0.00 |
| 90700 |
|
79 |
75 |
$0.00 |
| 90661 |
|
452 |
383 |
$0.00 |
| 90685 |
|
77 |
75 |
$0.00 |
| 99051 |
|
18 |
17 |
$0.00 |
| 90715 |
|
27 |
25 |
$0.00 |