| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,231 |
7,645 |
$913K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,187 |
6,620 |
$564K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,143 |
2,142 |
$198K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,454 |
4,438 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,669 |
1,669 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
923 |
915 |
$80K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
919 |
906 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
352 |
352 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
498 |
490 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
289 |
283 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,530 |
1,507 |
$22K |
| 99401 |
|
503 |
503 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
520 |
506 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
705 |
696 |
$11K |
| 99188 |
|
809 |
809 |
$9K |
| 80061 |
Lipid panel |
706 |
706 |
$8K |
| 87634 |
|
78 |
78 |
$5K |
| 85018 |
|
978 |
974 |
$2K |
| 87807 |
|
104 |
102 |
$1K |
| 96161 |
|
213 |
209 |
$1K |
| 83655 |
|
82 |
82 |
$883.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
61 |
$529.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$241.92 |
| 90686 |
|
642 |
641 |
$19.22 |
| 90656 |
|
126 |
126 |
$0.14 |
| 90677 |
|
254 |
254 |
$0.01 |
| 90660 |
|
28 |
28 |
$0.01 |
| 90716 |
|
190 |
190 |
$0.00 |
| 90723 |
|
354 |
354 |
$0.00 |
| 90647 |
|
364 |
364 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
18 |
$0.00 |
| 96160 |
|
2,412 |
2,410 |
$0.00 |
| 90670 |
|
441 |
441 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90672 |
|
201 |
201 |
$0.00 |
| 90681 |
|
80 |
80 |
$0.00 |
| 90633 |
|
177 |
176 |
$0.00 |
| 90707 |
|
177 |
177 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |