| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,267 |
1,132 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
496 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
483 |
464 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
387 |
370 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
165 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
527 |
523 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
131 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
207 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 81000 |
|
481 |
478 |
$1K |
| 87070 |
|
214 |
207 |
$879.59 |
| 80061 |
Lipid panel |
119 |
117 |
$769.80 |
| 90461 |
|
31 |
30 |
$755.87 |
| 92551 |
|
51 |
51 |
$367.40 |
| 99051 |
|
28 |
28 |
$269.85 |
| 99173 |
|
166 |
166 |
$230.40 |
| 92583 |
|
12 |
12 |
$164.88 |
| 96160 |
|
73 |
73 |
$86.26 |
| 96127 |
|
32 |
30 |
$74.32 |
| 85018 |
|
26 |
26 |
$43.07 |
| 36416 |
|
122 |
121 |
$19.68 |
| 99177 |
|
27 |
27 |
$3.38 |
| 90713 |
|
30 |
30 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99080 |
|
309 |
72 |
$0.00 |
| 3008F |
|
144 |
144 |
$0.00 |
| 99000 |
|
43 |
42 |
$0.00 |