| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
572 |
459 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
272 |
268 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
95 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
89 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
321 |
298 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
43 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$434.34 |
| 90670 |
|
43 |
43 |
$391.24 |
| 99050 |
|
15 |
15 |
$255.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$201.48 |
| 81001 |
|
20 |
17 |
$75.51 |
| 90686 |
|
35 |
34 |
$16.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
55 |
52 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 36416 |
|
288 |
264 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |