| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,304 |
2,034 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
375 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
393 |
361 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
261 |
243 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
168 |
158 |
$10K |
| 99173 |
|
643 |
588 |
$10K |
| 92551 |
|
663 |
609 |
$9K |
| 99188 |
|
464 |
413 |
$5K |
| 3008F |
|
987 |
900 |
$4K |
| 96127 |
|
710 |
648 |
$3K |
| 90677 |
|
131 |
123 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
78 |
$3K |
| 99000 |
|
497 |
437 |
$2K |
| 90707 |
|
127 |
114 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
134 |
114 |
$2K |
| 83655 |
|
144 |
132 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
45 |
$2K |
| 90716 |
|
112 |
103 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 90651 |
|
63 |
59 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
66 |
$1K |
| 90633 |
|
67 |
62 |
$900.00 |
| 36416 |
|
330 |
296 |
$751.36 |
| 90686 |
|
53 |
48 |
$740.39 |
| 80061 |
Lipid panel |
71 |
60 |
$674.86 |
| 90674 |
|
44 |
42 |
$618.90 |
| 90647 |
|
38 |
37 |
$555.00 |
| 90619 |
|
32 |
30 |
$401.70 |
| 87807 |
|
24 |
20 |
$237.67 |
| 81025 |
|
27 |
26 |
$204.79 |
| 82947 |
|
71 |
60 |
$197.75 |
| 82948 |
|
49 |
41 |
$103.30 |
| 90620 |
|
12 |
12 |
$91.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$71.31 |
| 85018 |
|
16 |
12 |
$39.50 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
122 |
$0.00 |
| 90461 |
|
367 |
341 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
594 |
550 |
$0.00 |