| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,343 |
7,660 |
$557K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,993 |
5,243 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
470 |
381 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
361 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
290 |
$30K |
| 99429 |
|
1,634 |
857 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
286 |
263 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
54 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
104 |
$2K |
| G9920 |
Screening performed and negative |
1,500 |
1,321 |
$1K |
| 0072A |
|
41 |
38 |
$1K |
| 96127 |
|
316 |
299 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
44 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
13 |
$804.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$638.75 |
| 0001A |
|
17 |
13 |
$425.00 |
| 0071A |
|
22 |
14 |
$404.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
27 |
$391.23 |
| 85018 |
|
155 |
132 |
$370.84 |
| 96161 |
|
283 |
202 |
$367.16 |
| 80061 |
Lipid panel |
15 |
15 |
$270.45 |
| 92551 |
|
258 |
235 |
$216.93 |
| 99173 |
|
197 |
174 |
$207.46 |
| 91300 |
|
15 |
14 |
$40.04 |
| 96160 |
|
14 |
14 |
$33.84 |
| 90686 |
|
1,600 |
1,454 |
$20.53 |
| 36416 |
|
387 |
337 |
$2.80 |
| 3008F |
|
4,845 |
4,357 |
$0.00 |
| 90688 |
|
128 |
126 |
$0.00 |
| 90698 |
|
52 |
44 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90680 |
|
50 |
43 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |
| 90670 |
|
154 |
129 |
$0.00 |
| 99072 |
|
428 |
347 |
$0.00 |
| 90685 |
|
61 |
54 |
$0.00 |