| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,259 |
6,418 |
$722K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,549 |
2,356 |
$176K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,034 |
911 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,631 |
1,578 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
283 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
617 |
598 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,040 |
1,034 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,239 |
1,216 |
$18K |
| 99215 |
Prolong outpt/office vis |
128 |
123 |
$17K |
| 96127 |
|
2,161 |
2,140 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
139 |
134 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
112 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
243 |
241 |
$7K |
| 99406 |
|
444 |
444 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
318 |
304 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
963 |
923 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
67 |
67 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$2K |
| 99490 |
Ccm add 20min |
118 |
118 |
$1K |
| 87807 |
|
108 |
105 |
$1K |
| 80061 |
Lipid panel |
87 |
87 |
$1K |
| 90674 |
|
91 |
91 |
$858.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
97 |
$808.48 |
| 86318 |
|
17 |
17 |
$547.06 |
| 0001A |
|
13 |
13 |
$520.00 |
| 90688 |
|
63 |
63 |
$426.09 |
| 90686 |
|
41 |
41 |
$304.51 |
| 82465 |
|
26 |
26 |
$107.75 |
| 81025 |
|
12 |
12 |
$91.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$15.85 |
| 90651 |
|
30 |
30 |
$0.00 |
| 90620 |
|
31 |
31 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 96160 |
|
1,046 |
1,045 |
$0.00 |
| 90715 |
|
71 |
71 |
$0.00 |