| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,031 |
10,232 |
$789K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,508 |
7,160 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,152 |
1,137 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
758 |
701 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
571 |
555 |
$57K |
| 90461 |
|
1,543 |
1,481 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
262 |
$30K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
281 |
272 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
589 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
710 |
684 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
184 |
181 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
40 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
181 |
$4K |
| 96127 |
|
931 |
894 |
$3K |
| 90480 |
|
74 |
73 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
194 |
$3K |
| 87081 |
|
581 |
543 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$1K |
| 99177 |
|
229 |
211 |
$1K |
| 96161 |
|
171 |
165 |
$650.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$577.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$487.24 |
| 99173 |
|
116 |
115 |
$238.70 |
| 90686 |
|
93 |
92 |
$45.00 |
| 90656 |
|
33 |
33 |
$16.00 |