| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,825 |
7,916 |
$540K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,865 |
9,889 |
$474K |
| 36415 |
Collection of venous blood by venipuncture |
4,580 |
4,244 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
720 |
707 |
$10K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
745 |
731 |
$7K |
| 90686 |
|
331 |
329 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
194 |
182 |
$3K |
| 87428 |
|
40 |
39 |
$2K |
| 80061 |
Lipid panel |
153 |
153 |
$2K |
| 90688 |
|
283 |
279 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
194 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$1K |
| 80053 |
Comprehensive metabolic panel |
121 |
117 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
82 |
$919.57 |
| 92551 |
|
147 |
140 |
$772.17 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
19 |
$742.87 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$686.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
62 |
$531.60 |
| 90656 |
|
47 |
47 |
$382.72 |
| 81003 |
|
79 |
63 |
$119.94 |
| 99173 |
|
110 |
103 |
$107.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$99.67 |
| 99188 |
|
12 |
12 |
$79.10 |
| 85018 |
|
25 |
24 |
$67.70 |
| 96127 |
|
13 |
13 |
$53.45 |
| X5622 |
|
138 |
136 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
80 |
80 |
$0.00 |