| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,361 |
11,213 |
$796K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,128 |
3,859 |
$417K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
419 |
419 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
323 |
315 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
632 |
600 |
$11K |
| 96127 |
|
1,147 |
1,124 |
$8K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
480 |
420 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
92 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,106 |
1,048 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
108 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 0001A |
|
73 |
73 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
29 |
$3K |
| 90686 |
|
426 |
415 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 90461 |
|
43 |
43 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
170 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
109 |
$862.65 |
| 87400 |
|
60 |
29 |
$834.62 |
| 0003A |
|
19 |
18 |
$760.00 |
| 80053 |
Comprehensive metabolic panel |
41 |
40 |
$447.18 |
| 90656 |
|
12 |
12 |
$142.32 |
| 81001 |
|
24 |
24 |
$81.19 |
| 91300 |
|
214 |
200 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |