| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,228 |
6,269 |
$277K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,950 |
2,680 |
$119K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,192 |
1,951 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
933 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,167 |
1,989 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
681 |
627 |
$27K |
| 99000 |
|
2,767 |
2,502 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,465 |
774 |
$16K |
| 87807 |
|
1,214 |
1,119 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
140 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
93 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
52 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
353 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
143 |
137 |
$917.42 |
| S8301 |
Infection control supplies, not otherwise specified |
284 |
264 |
$764.45 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
16 |
$422.28 |
| 90461 |
|
72 |
58 |
$254.98 |
| 96160 |
|
171 |
152 |
$222.51 |
| 99050 |
|
12 |
12 |
$166.08 |
| 80061 |
Lipid panel |
13 |
13 |
$146.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$114.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$102.66 |
| 81002 |
|
27 |
26 |
$78.84 |
| 92587 |
|
114 |
114 |
$18.18 |
| 90686 |
|
341 |
339 |
$0.01 |
| 90656 |
|
50 |
50 |
$0.00 |
| 36416 |
|
103 |
98 |
$0.00 |
| 96127 |
|
25 |
20 |
$0.00 |
| 99051 |
|
60 |
59 |
$0.00 |
| 99173 |
|
97 |
96 |
$0.00 |
| 99177 |
|
13 |
12 |
$0.00 |