| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,385 |
10,869 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,578 |
7,715 |
$507K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,440 |
1,211 |
$253K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,363 |
2,233 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,152 |
8,236 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,682 |
1,636 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,535 |
1,380 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,461 |
1,353 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,541 |
2,887 |
$59K |
| 99215 |
Prolong outpt/office vis |
143 |
126 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
324 |
302 |
$14K |
| 87807 |
|
783 |
716 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
299 |
293 |
$8K |
| 90670 |
|
797 |
785 |
$6K |
| 90633 |
|
805 |
791 |
$6K |
| 90647 |
|
483 |
479 |
$4K |
| 90723 |
|
450 |
441 |
$3K |
| 90716 |
|
330 |
319 |
$3K |
| 90707 |
|
319 |
308 |
$2K |
| 90680 |
|
307 |
303 |
$2K |
| 90686 |
|
238 |
226 |
$2K |
| 36416 |
|
747 |
705 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$1K |
| 90649 |
|
105 |
98 |
$752.00 |
| 81002 |
|
263 |
231 |
$729.26 |
| 86308 |
|
115 |
111 |
$643.38 |
| 90734 |
|
74 |
68 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
237 |
223 |
$450.00 |
| 90674 |
|
57 |
57 |
$416.00 |
| 99173 |
|
200 |
188 |
$390.00 |
| 85018 |
|
506 |
479 |
$322.84 |
| 90715 |
|
27 |
27 |
$192.00 |
| 90696 |
|
26 |
25 |
$192.00 |
| 90677 |
|
12 |
12 |
$88.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
21 |
$30.00 |
| 90461 |
|
18 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
64 |
$0.00 |