| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,070 |
2,774 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,581 |
4,064 |
$156K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
260 |
248 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,000 |
1,825 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,539 |
705 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
179 |
167 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
628 |
566 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
78 |
$6K |
| 81002 |
|
1,082 |
974 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
88 |
$3K |
| 36416 |
|
989 |
902 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
105 |
80 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$978.77 |
| 85018 |
|
286 |
268 |
$907.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$885.84 |
| 99177 |
|
69 |
64 |
$718.12 |
| 94760 |
|
1,760 |
1,590 |
$642.99 |
| 99174 |
|
61 |
55 |
$602.16 |
| 87807 |
|
43 |
40 |
$583.80 |
| 90686 |
|
49 |
44 |
$242.78 |
| 80061 |
Lipid panel |
13 |
12 |
$95.21 |
| 81025 |
|
14 |
13 |
$72.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$43.27 |
| 99000 |
|
89 |
82 |
$0.00 |
| 99051 |
|
1,515 |
1,355 |
$0.00 |