| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,357 |
6,093 |
$454K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,655 |
3,288 |
$327K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,918 |
2,831 |
$115K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,129 |
2,795 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
914 |
912 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
616 |
601 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,722 |
1,825 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
544 |
544 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,022 |
1,999 |
$18K |
| 92587 |
|
1,168 |
1,163 |
$18K |
| 92550 |
|
1,374 |
1,373 |
$17K |
| 92551 |
|
1,736 |
1,734 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
189 |
$15K |
| 93000 |
|
770 |
767 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
349 |
$12K |
| 90461 |
|
267 |
267 |
$9K |
| 87430 |
|
1,031 |
963 |
$6K |
| 99051 |
|
1,344 |
1,287 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,915 |
1,849 |
$4K |
| 90677 |
|
12 |
12 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
73 |
$3K |
| 81002 |
|
1,299 |
1,255 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
339 |
311 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
724 |
674 |
$3K |
| 99173 |
|
1,428 |
1,418 |
$2K |
| 87070 |
|
321 |
286 |
$2K |
| 0072A |
|
34 |
33 |
$1K |
| 0071A |
|
33 |
32 |
$1K |
| 99174 |
|
806 |
805 |
$741.04 |
| 87807 |
|
105 |
100 |
$714.40 |
| S3600 |
Stat laboratory request (situations other than s3601) |
294 |
277 |
$495.50 |
| 90686 |
|
247 |
247 |
$480.48 |
| 96127 |
|
101 |
101 |
$307.80 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
21 |
19 |
$211.63 |
| 94760 |
|
1,277 |
1,142 |
$172.50 |
| 94664 |
|
13 |
13 |
$171.59 |
| 36416 |
|
411 |
364 |
$129.35 |
| 99000 |
|
2,740 |
2,390 |
$124.46 |
| 99429 |
|
15 |
15 |
$122.50 |
| 82947 |
|
18 |
18 |
$29.01 |
| 90685 |
|
140 |
138 |
$23.58 |
| 82465 |
|
18 |
18 |
$12.02 |
| 91307 |
|
59 |
52 |
$0.25 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |