| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,603 |
3,159 |
$289K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,378 |
1,356 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
478 |
$67K |
| 90461 |
|
591 |
583 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
260 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
476 |
453 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
377 |
341 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
108 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,262 |
1,173 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
83 |
$8K |
| 87634 |
|
157 |
146 |
$7K |
| 90686 |
|
318 |
316 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
536 |
$6K |
| 90670 |
|
26 |
26 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
217 |
208 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
130 |
$4K |
| 90677 |
|
13 |
13 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
14 |
$3K |
| 87081 |
|
460 |
441 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
134 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
88 |
$3K |
| 99177 |
|
182 |
180 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
50 |
$1K |
| 87581 |
|
15 |
14 |
$345.15 |
| 90647 |
|
12 |
12 |
$314.76 |
| 90685 |
|
14 |
14 |
$305.34 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$118.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
32 |
32 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |