| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,803 |
3,451 |
$491K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,339 |
3,161 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
897 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
869 |
840 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
825 |
825 |
$96K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
621 |
614 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
635 |
635 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,090 |
3,034 |
$64K |
| 80050 |
General health panel |
154 |
153 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
175 |
170 |
$6K |
| 87631 |
|
32 |
31 |
$4K |
| 87634 |
|
48 |
45 |
$3K |
| 96127 |
|
551 |
551 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
175 |
175 |
$2K |
| 80061 |
Lipid panel |
159 |
159 |
$2K |
| 92551 |
|
1,461 |
1,460 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
34 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$900.12 |
| 90651 |
|
78 |
78 |
$517.97 |
| 81003 |
|
123 |
119 |
$282.00 |
| 90686 |
|
863 |
863 |
$227.77 |
| 87420 |
|
12 |
12 |
$162.80 |
| 83655 |
|
12 |
12 |
$161.40 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
238 |
$138.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$137.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
16 |
$132.09 |
| 87070 |
|
15 |
15 |
$129.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$116.52 |
| 85018 |
|
27 |
27 |
$71.01 |
| 99173 |
|
176 |
176 |
$3.17 |
| 90698 |
|
262 |
261 |
$0.00 |
| 90716 |
|
91 |
91 |
$0.00 |
| 90680 |
|
132 |
132 |
$0.00 |
| 90744 |
|
52 |
52 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
473 |
473 |
$0.00 |
| 90633 |
|
83 |
83 |
$0.00 |
| 90707 |
|
95 |
95 |
$0.00 |
| 90734 |
|
93 |
93 |
$0.00 |