| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
462 |
421 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,719 |
1,414 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
303 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
251 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,297 |
518 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
190 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
454 |
416 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
71 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
90 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
284 |
196 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87806 |
|
48 |
40 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$833.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
122 |
113 |
$731.36 |
| 83655 |
|
57 |
57 |
$549.18 |
| 80061 |
Lipid panel |
43 |
38 |
$416.25 |
| 81003 |
|
152 |
134 |
$249.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
16 |
$239.87 |
| 99000 |
|
27 |
20 |
$181.83 |
| 86762 |
|
17 |
13 |
$157.17 |
| 82947 |
|
47 |
39 |
$135.30 |
| 90671 |
|
165 |
155 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
16 |
$0.00 |
| 90680 |
|
74 |
72 |
$0.00 |
| 90697 |
|
52 |
48 |
$0.00 |
| 90658 |
|
108 |
97 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90670 |
|
23 |
23 |
$0.00 |