| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,160 |
6,757 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,614 |
2,500 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,702 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,971 |
1,868 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,375 |
1,284 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
833 |
768 |
$40K |
| 99381 |
|
271 |
248 |
$14K |
| 90670 |
|
1,098 |
1,061 |
$13K |
| 90723 |
|
918 |
886 |
$11K |
| 90647 |
|
813 |
792 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
343 |
$9K |
| 90686 |
|
648 |
617 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
363 |
$8K |
| 90681 |
|
491 |
483 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
133 |
130 |
$6K |
| 90671 |
|
425 |
420 |
$5K |
| 92551 |
|
723 |
680 |
$5K |
| 90633 |
|
312 |
304 |
$4K |
| 90697 |
|
299 |
296 |
$4K |
| 90680 |
|
289 |
283 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
218 |
$3K |
| 54150 |
|
14 |
14 |
$3K |
| 90710 |
|
184 |
182 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
433 |
$2K |
| 0071A |
|
17 |
17 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
115 |
$1K |
| 94760 |
|
88 |
81 |
$1K |
| 90651 |
|
60 |
58 |
$748.98 |
| 87807 |
|
56 |
55 |
$601.47 |
| 0001A |
|
17 |
17 |
$559.84 |
| 96127 |
|
105 |
90 |
$328.10 |
| 90734 |
|
17 |
17 |
$197.10 |
| 90696 |
|
12 |
12 |
$157.68 |
| 88720 |
|
13 |
13 |
$95.29 |
| 99177 |
|
76 |
74 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 91307 |
|
24 |
22 |
$0.00 |
| 96161 |
|
31 |
31 |
$0.00 |