| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,721 |
13,955 |
$688K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,293 |
3,162 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,338 |
1,331 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,341 |
1,329 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,368 |
1,360 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,419 |
3,724 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,440 |
1,406 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,937 |
1,933 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
716 |
711 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,738 |
2,675 |
$37K |
| 99429 |
|
1,063 |
1,058 |
$36K |
| 99000 |
|
3,080 |
2,919 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,468 |
2,330 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
239 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
489 |
480 |
$12K |
| 92567 |
|
892 |
887 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,357 |
971 |
$11K |
| 90461 |
|
985 |
784 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
427 |
404 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
43 |
$3K |
| 96160 |
|
1,318 |
1,307 |
$3K |
| 87807 |
|
229 |
222 |
$2K |
| 0071A |
|
64 |
61 |
$2K |
| 0072A |
|
55 |
55 |
$2K |
| 0001A |
|
57 |
55 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 81003 |
|
895 |
847 |
$2K |
| 97169 |
|
33 |
33 |
$1K |
| 90473 |
|
51 |
50 |
$605.00 |
| 83655 |
|
58 |
58 |
$589.86 |
| 85027 |
|
12 |
12 |
$65.16 |
| 97802 |
|
2,878 |
2,853 |
$6.75 |
| 90686 |
|
1,233 |
1,226 |
$0.41 |
| 90671 |
|
122 |
122 |
$0.21 |
| 90688 |
|
498 |
495 |
$0.18 |
| 90620 |
|
200 |
198 |
$0.11 |
| 90651 |
|
263 |
255 |
$0.05 |
| 90672 |
|
51 |
50 |
$0.04 |
| 90648 |
|
322 |
319 |
$0.00 |
| 90670 |
|
601 |
596 |
$0.00 |
| 90734 |
|
226 |
221 |
$0.00 |
| 90633 |
|
301 |
299 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 91300 |
|
100 |
87 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,104 |
3,072 |
$0.00 |
| 90680 |
|
372 |
371 |
$0.00 |
| 90723 |
|
83 |
82 |
$0.00 |
| 90698 |
|
65 |
65 |
$0.00 |
| 91307 |
|
144 |
127 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |