| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,755 |
17,068 |
$972K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,544 |
3,949 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,044 |
1,558 |
$144K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,265 |
1,558 |
$124K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,921 |
3,804 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,666 |
1,281 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,188 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,242 |
966 |
$89K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,279 |
1,053 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
150 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,086 |
717 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,688 |
827 |
$11K |
| 92551 |
|
1,512 |
1,098 |
$11K |
| 99173 |
|
2,062 |
1,485 |
$9K |
| 96160 |
|
478 |
343 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
158 |
103 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
132 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
225 |
193 |
$4K |
| 87428 |
|
90 |
44 |
$3K |
| 87634 |
|
40 |
40 |
$2K |
| 96127 |
|
515 |
351 |
$2K |
| 36416 |
|
826 |
574 |
$911.21 |
| 80061 |
Lipid panel |
71 |
46 |
$717.39 |
| 87807 |
|
21 |
15 |
$169.29 |
| 99174 |
|
21 |
12 |
$129.81 |
| 83655 |
|
12 |
12 |
$128.79 |
| 96161 |
|
586 |
467 |
$109.10 |
| 90661 |
|
292 |
230 |
$49.53 |
| 90686 |
|
1,491 |
840 |
$35.63 |
| 85018 |
|
20 |
12 |
$28.15 |
| 90674 |
|
229 |
222 |
$27.69 |
| 90677 |
|
207 |
173 |
$0.45 |
| 90723 |
|
238 |
198 |
$0.02 |
| 90680 |
|
197 |
171 |
$0.02 |
| 3008F |
|
5,701 |
4,126 |
$0.02 |
| 90670 |
|
564 |
414 |
$0.02 |
| 90647 |
|
211 |
166 |
$0.00 |