| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,513 |
21,277 |
$1.46M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,193 |
9,182 |
$318K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,203 |
2,909 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,612 |
2,537 |
$265K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,657 |
1,604 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,966 |
1,880 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
695 |
679 |
$69K |
| 90461 |
|
2,101 |
1,681 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,014 |
1,930 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,219 |
608 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
106 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
955 |
886 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
47 |
46 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
51 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
237 |
230 |
$550.48 |
| 0071A |
|
12 |
12 |
$480.00 |
| 87807 |
|
29 |
29 |
$363.92 |
| 81003 |
|
133 |
127 |
$327.82 |
| 90686 |
|
1,503 |
1,464 |
$207.44 |
| 99051 |
|
15 |
14 |
$198.96 |
| 86738 |
|
16 |
16 |
$174.11 |
| 87081 |
|
12 |
12 |
$90.76 |
| 90670 |
|
1,129 |
1,066 |
$0.00 |
| 90633 |
|
200 |
188 |
$0.00 |
| 90681 |
|
17 |
16 |
$0.00 |
| 90680 |
|
542 |
507 |
$0.00 |
| 90647 |
|
661 |
615 |
$0.00 |
| 90688 |
|
312 |
304 |
$0.00 |
| 90677 |
|
250 |
222 |
$0.00 |
| 90723 |
|
808 |
752 |
$0.00 |
| 90656 |
|
136 |
131 |
$0.00 |