| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,879 |
3,714 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,671 |
2,489 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,347 |
2,130 |
$237K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,545 |
1,482 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,213 |
1,096 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
600 |
$55K |
| 99460 |
|
305 |
303 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
248 |
241 |
$29K |
| 83655 |
|
466 |
462 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
456 |
$15K |
| 99383 |
|
160 |
142 |
$14K |
| 99384 |
|
79 |
64 |
$7K |
| 85018 |
|
573 |
568 |
$7K |
| 80061 |
Lipid panel |
643 |
639 |
$7K |
| 85027 |
|
1,136 |
1,134 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
544 |
544 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
187 |
168 |
$3K |
| 99381 |
|
38 |
38 |
$3K |
| 90697 |
|
113 |
73 |
$3K |
| 80053 |
Comprehensive metabolic panel |
303 |
302 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
306 |
306 |
$2K |
| 99382 |
|
24 |
16 |
$2K |
| 99462 |
|
21 |
15 |
$2K |
| 90670 |
|
267 |
203 |
$1K |
| 90649 |
|
202 |
180 |
$933.29 |
| 90734 |
|
217 |
184 |
$923.17 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18 |
18 |
$920.97 |
| 90696 |
|
80 |
60 |
$882.66 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
125 |
125 |
$839.56 |
| 90461 |
|
46 |
46 |
$806.40 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$673.92 |
| 90715 |
|
72 |
52 |
$618.04 |
| 90633 |
|
152 |
125 |
$580.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$528.80 |
| 90710 |
|
76 |
49 |
$473.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$409.66 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$336.84 |
| 90700 |
|
12 |
12 |
$172.06 |
| 90686 |
|
24 |
21 |
$166.98 |
| 90680 |
|
22 |
13 |
$145.26 |
| 90677 |
|
12 |
12 |
$96.84 |
| 86592 |
|
15 |
15 |
$51.15 |
| 90707 |
|
32 |
17 |
$43.06 |
| 90716 |
|
42 |
28 |
$37.54 |
| 0001A |
|
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |
| 0002A |
|
20 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
17 |
$0.00 |