| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,795 |
12,637 |
$565K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,579 |
4,289 |
$259K |
| 90682 |
|
492 |
467 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
334 |
306 |
$14K |
| 99051 |
|
764 |
731 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
437 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,750 |
1,685 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
686 |
667 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
29 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
58 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
45 |
42 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81003 |
|
1,078 |
1,035 |
$1K |
| 99000 |
|
5,419 |
4,924 |
$951.78 |
| 36415 |
Collection of venous blood by venipuncture |
4,472 |
4,227 |
$711.87 |
| 96127 |
|
112 |
110 |
$614.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
37 |
$379.99 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
39 |
38 |
$368.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$364.98 |
| 90662 |
|
14 |
14 |
$139.88 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
12 |
$94.89 |
| 99072 |
|
482 |
443 |
$91.15 |
| G0008 |
Administration of influenza virus vaccine |
177 |
172 |
$90.44 |
| 94760 |
|
61 |
55 |
$81.72 |
| 90673 |
|
19 |
19 |
$74.71 |
| 2000F |
|
2,045 |
1,784 |
$0.00 |
| 2001F |
|
2,044 |
1,783 |
$0.00 |
| M1168 |
Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period |
12 |
12 |
$0.00 |