| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,963 |
3,620 |
$388K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
712 |
697 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
270 |
243 |
$32K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
293 |
285 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
98 |
95 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
642 |
574 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
42 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
231 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$5K |
| 99072 |
|
863 |
812 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
29 |
$3K |
| 92551 |
|
203 |
197 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
49 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
37 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$809.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$769.65 |
| 96127 |
|
91 |
76 |
$668.22 |
| 80061 |
Lipid panel |
28 |
27 |
$408.63 |
| 85018 |
|
89 |
87 |
$203.82 |
| 99172 |
|
18 |
17 |
$107.80 |
| 90686 |
|
284 |
284 |
$79.07 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90647 |
|
42 |
42 |
$0.00 |
| 90723 |
|
37 |
37 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 99177 |
|
303 |
296 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
73 |
71 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |