| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,912 |
8,982 |
$368K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,119 |
2,053 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,819 |
2,684 |
$114K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,301 |
2,051 |
$90K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
788 |
710 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
538 |
526 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
361 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
323 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
260 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
430 |
385 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
526 |
485 |
$14K |
| 87634 |
|
123 |
112 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
44 |
36 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
66 |
$4K |
| 90461 |
|
1,306 |
1,248 |
$4K |
| 90686 |
|
471 |
451 |
$3K |
| 80061 |
Lipid panel |
133 |
107 |
$2K |
| 87631 |
|
30 |
21 |
$1K |
| 83655 |
|
81 |
71 |
$1K |
| 95117 |
|
71 |
50 |
$1K |
| 96160 |
|
135 |
120 |
$935.46 |
| 90734 |
|
32 |
30 |
$925.61 |
| 94760 |
|
664 |
561 |
$845.36 |
| 90651 |
|
62 |
51 |
$839.86 |
| 90715 |
|
103 |
89 |
$668.80 |
| 90710 |
|
15 |
14 |
$646.69 |
| 92587 |
|
24 |
22 |
$579.15 |
| 90670 |
|
142 |
141 |
$384.69 |
| 90696 |
|
14 |
13 |
$161.22 |
| 90619 |
|
20 |
17 |
$158.06 |
| 90633 |
|
68 |
66 |
$89.43 |
| 90648 |
|
128 |
127 |
$72.53 |
| 81002 |
|
18 |
13 |
$43.68 |
| 90685 |
|
43 |
43 |
$0.00 |
| 90671 |
|
14 |
13 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90723 |
|
53 |
53 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |