| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,393 |
2,617 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
566 |
$50K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
79 |
53 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
68 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
102 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87430 |
|
105 |
100 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$840.00 |
| 90688 |
|
26 |
26 |
$482.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$102.94 |
| 85018 |
|
79 |
68 |
$86.34 |
| 99000 |
|
28 |
27 |
$70.00 |
| 96127 |
|
24 |
12 |
$39.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
96 |
$0.00 |
| 36416 |
|
29 |
27 |
$0.00 |