| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,034 |
8,202 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,753 |
3,532 |
$211K |
| 87428 |
|
493 |
471 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
419 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
246 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
450 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
552 |
266 |
$7K |
| 99173 |
|
211 |
207 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
528 |
476 |
$3K |
| 80061 |
Lipid panel |
343 |
313 |
$3K |
| 90688 |
|
262 |
257 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
161 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
27 |
$1K |
| 90686 |
|
85 |
80 |
$871.56 |
| 96127 |
|
300 |
286 |
$788.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
64 |
$304.83 |
| 0011A |
|
19 |
18 |
$120.00 |
| 81003 |
|
231 |
220 |
$58.58 |
| 0012A |
|
13 |
13 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
44 |
$21.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |