| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,503 |
7,263 |
$574K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,731 |
3,682 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
845 |
806 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
994 |
993 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
955 |
952 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
832 |
830 |
$63K |
| 87428 |
|
1,173 |
1,125 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
674 |
665 |
$43K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
300 |
289 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,060 |
1,029 |
$24K |
| 92587 |
|
758 |
755 |
$17K |
| 90461 |
|
515 |
514 |
$15K |
| 92551 |
|
1,615 |
1,606 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
337 |
329 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
962 |
898 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,135 |
1,080 |
$10K |
| 90677 |
|
42 |
42 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
991 |
933 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,745 |
1,731 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
147 |
$8K |
| 90671 |
|
36 |
36 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
394 |
219 |
$4K |
| 99177 |
|
791 |
789 |
$4K |
| 81003 |
|
2,159 |
2,115 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,571 |
2,521 |
$2K |
| 99173 |
|
1,128 |
1,120 |
$2K |
| 0001A |
|
52 |
52 |
$2K |
| 96127 |
|
572 |
572 |
$2K |
| 87184 |
|
462 |
435 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$1K |
| 0002A |
|
29 |
29 |
$964.71 |
| 90686 |
|
683 |
676 |
$858.78 |
| 87070 |
|
272 |
263 |
$843.62 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
110 |
$719.54 |
| 81000 |
|
292 |
283 |
$608.27 |
| 0071A |
|
14 |
14 |
$461.64 |
| 99174 |
|
338 |
337 |
$392.74 |
| 87081 |
|
202 |
186 |
$390.53 |
| 83655 |
|
27 |
27 |
$246.19 |
| 99051 |
|
46 |
45 |
$237.86 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
119 |
116 |
$199.69 |
| 87807 |
|
38 |
35 |
$148.19 |
| 36416 |
|
487 |
481 |
$135.75 |
| 87077 |
|
14 |
14 |
$44.42 |
| 81001 |
|
25 |
24 |
$40.24 |
| 96160 |
|
13 |
13 |
$36.51 |
| 99072 |
|
1,413 |
1,352 |
$16.77 |
| 91307 |
|
35 |
34 |
$6.45 |
| 91300 |
|
36 |
35 |
$2.33 |
| 1220F |
|
341 |
341 |
$0.00 |
| 2010F |
|
1,067 |
1,064 |
$0.00 |
| 99000 |
|
475 |
459 |
$0.00 |
| 3008F |
|
1,570 |
1,565 |
$0.00 |
| 90619 |
|
81 |
81 |
$0.00 |
| 90698 |
|
84 |
84 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90670 |
|
44 |
44 |
$0.00 |
| 1159F |
|
80 |
77 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 1160F |
|
80 |
77 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
167 |
167 |
$0.00 |