| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,507 |
14,881 |
$643K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,628 |
2,549 |
$201K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,437 |
3,987 |
$176K |
| 87428 |
|
2,366 |
2,138 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,085 |
2,006 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,902 |
1,838 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,836 |
4,090 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,540 |
7,524 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,255 |
1,200 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,355 |
3,959 |
$100K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,579 |
2,583 |
$72K |
| 99429 |
|
2,089 |
2,054 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,305 |
2,515 |
$26K |
| 90461 |
|
3,064 |
2,625 |
$13K |
| 99381 |
|
175 |
161 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
566 |
498 |
$6K |
| 87807 |
|
606 |
545 |
$6K |
| 87400 |
|
484 |
215 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
64 |
$3K |
| 87420 |
|
123 |
112 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| CP002 |
|
102 |
82 |
$999.60 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
19 |
$975.27 |
| 0001A |
|
22 |
22 |
$880.00 |
| 0002A |
|
18 |
18 |
$720.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$687.18 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105 |
77 |
$518.07 |
| 92551 |
|
498 |
483 |
$374.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
45 |
$326.12 |
| 94760 |
|
527 |
446 |
$325.01 |
| 92587 |
|
16 |
16 |
$269.72 |
| 99051 |
|
14 |
13 |
$194.22 |
| 99050 |
|
13 |
13 |
$119.56 |
| 81002 |
|
29 |
25 |
$67.16 |
| A4259 |
Lancets, per box of 100 |
75 |
59 |
$66.11 |
| 81003 |
|
35 |
30 |
$54.81 |
| A4927 |
Gloves, non-sterile, per 100 |
776 |
640 |
$35.22 |
| 90686 |
|
1,391 |
1,355 |
$19.50 |
| 90671 |
|
582 |
560 |
$0.31 |
| 90651 |
|
81 |
79 |
$0.02 |
| 90723 |
|
1,347 |
1,317 |
$0.00 |
| 90716 |
|
139 |
134 |
$0.00 |
| 90680 |
|
1,257 |
1,230 |
$0.00 |
| 90656 |
|
131 |
129 |
$0.00 |
| 36416 |
|
112 |
95 |
$0.00 |
| 90696 |
|
57 |
54 |
$0.00 |
| 90633 |
|
799 |
782 |
$0.00 |
| 90670 |
|
1,147 |
1,129 |
$0.00 |
| 90710 |
|
54 |
51 |
$0.00 |
| 90648 |
|
1,735 |
1,695 |
$0.00 |
| 90707 |
|
159 |
154 |
$0.00 |
| 99177 |
|
550 |
534 |
$0.00 |
| 90700 |
|
115 |
113 |
$0.00 |
| 90734 |
|
87 |
85 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 91300 |
|
44 |
42 |
$0.00 |