| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,859 |
19,567 |
$1.68M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,343 |
8,320 |
$797K |
| 99348 |
|
2,508 |
2,234 |
$182K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,924 |
3,422 |
$175K |
| 87070 |
|
15,343 |
14,071 |
$122K |
| 87184 |
|
15,256 |
14,014 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,806 |
3,332 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,101 |
1,814 |
$92K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,113 |
1,938 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
631 |
608 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,776 |
14,479 |
$58K |
| 99342 |
|
500 |
500 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
359 |
359 |
$24K |
| 10120 |
|
101 |
95 |
$14K |
| 10060 |
|
126 |
122 |
$14K |
| 69210 |
|
486 |
294 |
$13K |
| 13132 |
|
26 |
26 |
$12K |
| 90686 |
|
524 |
518 |
$11K |
| 99349 |
|
67 |
65 |
$8K |
| 90688 |
|
231 |
231 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$3K |
| 99441 |
|
108 |
104 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
595 |
595 |
$3K |
| 99385 |
|
24 |
24 |
$3K |
| 99343 |
|
14 |
14 |
$2K |
| 11730 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
204 |
$1K |
| 87807 |
|
75 |
73 |
$953.10 |
| 86769 |
|
33 |
33 |
$525.03 |
| 90672 |
|
13 |
13 |
$358.02 |
| 81002 |
|
140 |
135 |
$273.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
62 |
$199.91 |
| 86580 |
|
12 |
12 |
$60.25 |
| 81003 |
|
27 |
27 |
$54.54 |
| 36415 |
Collection of venous blood by venipuncture |
2,169 |
2,110 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$0.00 |
| 94760 |
|
41 |
35 |
$0.00 |
| 99000 |
|
49 |
37 |
$0.00 |