| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,858 |
1,599 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
522 |
506 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
233 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
778 |
748 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
584 |
260 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
131 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
64 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
486 |
450 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
60 |
$97.94 |
| 96160 |
|
28 |
28 |
$2.25 |
| 90697 |
|
32 |
32 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
23 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
45 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 90461 |
|
92 |
76 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$0.00 |
| 90671 |
|
52 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
73 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |