| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,862 |
1,643 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
796 |
790 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
280 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
160 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
152 |
147 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
199 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
210 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
162 |
$11K |
| 87428 |
|
194 |
191 |
$10K |
| 92587 |
|
400 |
400 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
579 |
551 |
$5K |
| 90461 |
|
202 |
202 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
486 |
485 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
109 |
109 |
$3K |
| 92551 |
|
156 |
156 |
$2K |
| 90677 |
|
14 |
14 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
71 |
71 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
109 |
$1K |
| 81003 |
|
692 |
673 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
55 |
$1K |
| 96127 |
|
195 |
195 |
$696.84 |
| 90619 |
|
34 |
34 |
$570.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$286.36 |
| 36415 |
Collection of venous blood by venipuncture |
287 |
278 |
$167.91 |
| 90656 |
|
92 |
92 |
$134.10 |
| 87184 |
|
106 |
104 |
$127.70 |
| 87081 |
|
106 |
104 |
$111.22 |
| 99177 |
|
390 |
390 |
$92.11 |
| 99173 |
|
132 |
132 |
$19.67 |
| 90715 |
|
12 |
12 |
$0.01 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90686 |
|
50 |
50 |
$0.00 |
| 36416 |
|
260 |
257 |
$0.00 |
| 3008F |
|
562 |
562 |
$0.00 |
| 2010F |
|
565 |
564 |
$0.00 |
| 1220F |
|
149 |
149 |
$0.00 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |