| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,293 |
4,577 |
$454K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,370 |
1,261 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
765 |
723 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
795 |
787 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,833 |
1,788 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
301 |
293 |
$32K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
441 |
429 |
$31K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
584 |
572 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,023 |
993 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
103 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
834 |
803 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
84 |
$9K |
| 82728 |
|
251 |
246 |
$9K |
| 0002A |
|
180 |
175 |
$7K |
| 0072A |
|
180 |
180 |
$7K |
| 0003A |
|
160 |
158 |
$7K |
| 0071A |
|
114 |
114 |
$5K |
| 0001A |
|
110 |
110 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
51 |
$4K |
| 0013A |
|
61 |
61 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
53 |
$2K |
| 90474 |
|
220 |
213 |
$2K |
| 99401 |
|
74 |
68 |
$2K |
| 99188 |
|
146 |
141 |
$2K |
| 83540 |
|
93 |
91 |
$2K |
| 99381 |
|
15 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
125 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$2K |
| 99174 |
|
45 |
41 |
$1K |
| 96127 |
|
298 |
288 |
$970.18 |
| 99403 |
|
12 |
12 |
$934.77 |
| 85027 |
|
56 |
56 |
$929.69 |
| 99050 |
|
17 |
16 |
$697.02 |
| 90677 |
|
12 |
12 |
$513.00 |
| 80061 |
Lipid panel |
12 |
12 |
$379.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$358.54 |
| 94760 |
|
17 |
15 |
$71.01 |