| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,875 |
2,588 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,137 |
1,073 |
$131K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
455 |
449 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
704 |
682 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
202 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
143 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
159 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
737 |
724 |
$15K |
| 90461 |
|
343 |
340 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
623 |
622 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
346 |
335 |
$5K |
| 92558 |
|
263 |
260 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
140 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
152 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 90674 |
|
39 |
38 |
$1K |
| 90682 |
|
13 |
13 |
$684.52 |
| 87807 |
|
50 |
49 |
$605.48 |
| 90661 |
|
22 |
22 |
$582.30 |
| 80061 |
Lipid panel |
27 |
27 |
$335.31 |
| 99174 |
|
46 |
46 |
$145.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$115.31 |
| 90686 |
|
51 |
51 |
$0.01 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90648 |
|
36 |
36 |
$0.00 |
| 90671 |
|
30 |
30 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |