| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
1,199 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,549 |
$216K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
944 |
923 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
482 |
481 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
425 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
392 |
392 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
371 |
354 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,339 |
1,332 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
973 |
616 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
608 |
607 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
763 |
750 |
$13K |
| 96127 |
|
848 |
848 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
751 |
751 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
265 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
168 |
168 |
$7K |
| 87081 |
|
733 |
718 |
$6K |
| 90461 |
|
293 |
98 |
$4K |
| 99188 |
|
39 |
39 |
$1K |
| 99051 |
|
71 |
71 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$967.75 |
| 94010 |
|
54 |
27 |
$893.04 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
26 |
$803.14 |
| 90686 |
|
26 |
26 |
$780.00 |
| 83655 |
|
13 |
13 |
$209.69 |
| 87807 |
|
12 |
12 |
$209.28 |
| 90474 |
|
13 |
13 |
$193.18 |
| 80061 |
Lipid panel |
12 |
12 |
$190.56 |
| 81002 |
|
28 |
26 |
$42.56 |