| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,512 |
4,175 |
$337K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,620 |
3,569 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
952 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,017 |
1,017 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
737 |
729 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
520 |
520 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
110 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
165 |
$9K |
| 92587 |
|
771 |
770 |
$8K |
| 91321 |
|
57 |
57 |
$7K |
| 0082A |
|
104 |
104 |
$4K |
| 0081A |
|
109 |
108 |
$4K |
| 99050 |
|
387 |
381 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
165 |
162 |
$3K |
| 99173 |
|
1,062 |
1,061 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
286 |
278 |
$2K |
| 99051 |
|
252 |
249 |
$2K |
| 90480 |
|
75 |
75 |
$2K |
| 90461 |
|
155 |
148 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
125 |
$2K |
| 94760 |
|
1,168 |
1,098 |
$1K |
| 0072A |
|
58 |
58 |
$1K |
| 0071A |
|
61 |
61 |
$1K |
| 83655 |
|
150 |
146 |
$1K |
| 99177 |
|
164 |
164 |
$530.48 |
| 0083A |
|
12 |
12 |
$505.64 |
| 0154A |
|
13 |
13 |
$467.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
87 |
$462.04 |
| 96160 |
|
211 |
211 |
$296.38 |
| 85018 |
|
165 |
161 |
$285.12 |
| 90686 |
|
487 |
465 |
$252.99 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$39.78 |
| 36416 |
|
805 |
789 |
$23.86 |
| 90744 |
|
31 |
31 |
$0.00 |
| 99000 |
|
528 |
511 |
$0.00 |
| 90697 |
|
30 |
30 |
$0.00 |
| 90698 |
|
30 |
30 |
$0.00 |
| 90680 |
|
16 |
16 |
$0.00 |
| 99072 |
|
411 |
391 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |