| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,448 |
1,889 |
$109K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
137 |
101 |
$46K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
205 |
154 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
237 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
112 |
89 |
$7K |
| 0002A |
|
165 |
108 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
61 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
75 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
26 |
$3K |
| 0001A |
|
52 |
39 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
111 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
43 |
28 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
192 |
137 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
79 |
$1K |
| 86480 |
|
19 |
14 |
$971.48 |
| 96160 |
|
59 |
42 |
$820.52 |
| 90686 |
|
105 |
100 |
$722.39 |
| 80053 |
Comprehensive metabolic panel |
63 |
41 |
$602.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$385.72 |
| 83655 |
|
23 |
17 |
$258.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
15 |
$174.51 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
12 |
$159.48 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
53 |
$142.27 |
| 90734 |
|
22 |
13 |
$138.88 |
| 99173 |
|
18 |
14 |
$131.14 |
| 81003 |
|
49 |
25 |
$106.82 |
| 99000 |
|
19 |
14 |
$0.00 |