| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,722 |
7,787 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,026 |
5,323 |
$178K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,268 |
1,183 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
421 |
364 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,871 |
772 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
180 |
169 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
990 |
531 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
134 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
39 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
669 |
621 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
203 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
87 |
80 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
83 |
$1K |
| 99000 |
|
144 |
136 |
$725.45 |
| 71045 |
Radiologic examination, chest; single view |
48 |
46 |
$697.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$407.00 |
| 87807 |
|
78 |
73 |
$397.02 |
| 90461 |
|
174 |
114 |
$358.42 |
| 81003 |
|
207 |
196 |
$312.78 |
| 87276 |
|
16 |
16 |
$175.50 |
| 90756 |
|
26 |
25 |
$154.63 |
| 90674 |
|
17 |
17 |
$144.45 |
| 87275 |
|
16 |
16 |
$133.77 |
| 90688 |
|
37 |
37 |
$117.60 |
| 90661 |
|
13 |
13 |
$78.30 |
| 86308 |
|
14 |
14 |
$56.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,481 |
1,365 |
$9.00 |
| 1036F |
|
1,160 |
1,037 |
$0.00 |
| 1030F |
|
1,496 |
1,310 |
$0.00 |
| 90686 |
|
38 |
38 |
$0.00 |
| 1000F |
|
1,072 |
950 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
69 |
69 |
$0.00 |
| 99173 |
|
705 |
599 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$0.00 |