| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,040 |
6,506 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,330 |
2,177 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
642 |
639 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,110 |
1,825 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
953 |
857 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
438 |
434 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,533 |
2,419 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,197 |
575 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,302 |
2,134 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
96 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
97 |
$6K |
| 81002 |
|
1,394 |
1,319 |
$4K |
| 96160 |
|
494 |
490 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
51 |
$531.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
22 |
$180.32 |
| 97170 |
|
13 |
12 |
$150.00 |
| 99000 |
|
13 |
13 |
$140.40 |
| 90658 |
|
21 |
21 |
$0.01 |