| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,006 |
19,272 |
$1.85M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,790 |
3,768 |
$403K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,130 |
2,074 |
$179K |
| 99050 |
|
9,697 |
8,295 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,184 |
1,069 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,018 |
916 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,713 |
2,673 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,663 |
9,408 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
685 |
680 |
$56K |
| 87070 |
|
8,776 |
7,715 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,065 |
1,658 |
$46K |
| 87184 |
|
8,831 |
7,755 |
$41K |
| 69210 |
|
756 |
716 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
292 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
437 |
331 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
316 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
418 |
340 |
$12K |
| 90461 |
|
344 |
341 |
$12K |
| 17110 |
|
109 |
95 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
72 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,680 |
1,485 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
90 |
83 |
$7K |
| 99381 |
|
55 |
55 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$5K |
| 83655 |
|
378 |
377 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
110 |
$3K |
| 99401 |
|
58 |
56 |
$2K |
| 90670 |
|
24 |
24 |
$2K |
| 90686 |
|
217 |
217 |
$2K |
| 81000 |
|
562 |
538 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
79 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 86618 |
|
83 |
53 |
$1K |
| 85018 |
|
575 |
574 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
701 |
690 |
$742.95 |
| 92587 |
|
13 |
13 |
$310.03 |
| 99441 |
|
17 |
17 |
$243.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$206.54 |
| 81001 |
|
25 |
25 |
$82.64 |
| 36416 |
|
1,065 |
949 |
$14.03 |
| 99000 |
|
1,956 |
1,662 |
$0.00 |
| 87081 |
|
17 |
16 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |