| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,888 |
5,547 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,431 |
2,237 |
$226K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,888 |
1,884 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
255 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
508 |
493 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
250 |
249 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
488 |
472 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
199 |
191 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
67 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
68 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
36 |
$992.57 |
| 87807 |
|
90 |
88 |
$967.56 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$937.31 |
| 87400 |
|
19 |
18 |
$477.66 |
| 87430 |
|
30 |
26 |
$448.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
51 |
$368.56 |
| 90656 |
|
36 |
36 |
$20.93 |
| 90686 |
|
376 |
375 |
$0.00 |
| 99072 |
|
82 |
78 |
$0.00 |
| 96160 |
|
57 |
57 |
$0.00 |