| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,360 |
2,029 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
778 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,114 |
1,077 |
$19K |
| 92587 |
|
288 |
283 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
857 |
828 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
106 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
89 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
83 |
82 |
$8K |
| 99199 |
Unlisted special service, procedure or report |
224 |
204 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
159 |
$7K |
| 90461 |
|
133 |
127 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
114 |
99 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
87 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$1K |
| 99441 |
|
74 |
67 |
$1K |
| 99177 |
|
202 |
193 |
$967.76 |
| 99401 |
|
31 |
31 |
$879.70 |
| 0072A |
|
28 |
28 |
$764.04 |
| 87070 |
|
96 |
83 |
$734.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
27 |
$704.56 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$560.12 |
| 0071A |
|
15 |
14 |
$516.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
14 |
$226.16 |
| 83655 |
|
12 |
12 |
$215.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$168.97 |
| 90686 |
|
199 |
191 |
$100.00 |
| 99000 |
|
26 |
26 |
$76.70 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$76.15 |
| 96127 |
|
13 |
13 |
$41.66 |
| 91307 |
|
12 |
12 |
$4.95 |