| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
621 |
562 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
491 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
842 |
829 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
41 |
40 |
$6K |
| 92551 |
|
302 |
302 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
73 |
$4K |
| 90461 |
|
69 |
69 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$2K |
| 99173 |
|
37 |
37 |
$612.00 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$324.00 |
| 80053 |
Comprehensive metabolic panel |
27 |
27 |
$274.56 |
| 96127 |
|
33 |
33 |
$231.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$181.83 |
| 80061 |
Lipid panel |
13 |
13 |
$107.12 |
| 96160 |
|
29 |
29 |
$94.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$85.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$48.55 |
| 90686 |
|
281 |
281 |
$19.58 |
| 90734 |
|
13 |
13 |
$0.00 |