| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,446 |
1,972 |
$87K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
865 |
831 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,896 |
910 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
184 |
$15K |
| 87634 |
|
233 |
224 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,015 |
958 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
724 |
633 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
329 |
320 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
150 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
375 |
367 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
134 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
136 |
$8K |
| 87428 |
|
115 |
107 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,136 |
441 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
102 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
246 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
495 |
467 |
$3K |
| 87081 |
|
370 |
343 |
$2K |
| 90461 |
|
102 |
101 |
$671.00 |
| 82570 |
|
136 |
133 |
$602.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
63 |
$496.54 |
| 86308 |
|
85 |
83 |
$365.40 |
| 81003 |
|
135 |
132 |
$259.66 |
| 86318 |
|
12 |
12 |
$217.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
13 |
$101.92 |
| 87400 |
|
30 |
14 |
$71.22 |
| 90670 |
|
107 |
107 |
$0.00 |
| 90648 |
|
91 |
91 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
33 |
33 |
$0.00 |
| 90688 |
|
92 |
89 |
$0.00 |
| 90680 |
|
45 |
45 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90686 |
|
54 |
52 |
$0.00 |