| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,587 |
7,393 |
$404K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,737 |
3,710 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,274 |
1,243 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
912 |
908 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
693 |
693 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
547 |
$41K |
| 87070 |
|
5,943 |
5,401 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,821 |
5,313 |
$38K |
| 86328 |
|
1,275 |
673 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
476 |
460 |
$32K |
| 87184 |
|
5,959 |
5,418 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,718 |
871 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,881 |
3,756 |
$21K |
| 69210 |
|
454 |
442 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
285 |
280 |
$12K |
| 99051 |
|
937 |
899 |
$11K |
| 99188 |
|
786 |
785 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
233 |
$8K |
| 87428 |
|
133 |
129 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
53 |
51 |
$6K |
| 83655 |
|
613 |
612 |
$6K |
| 81002 |
|
1,677 |
1,665 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$3K |
| 99381 |
|
24 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 99173 |
|
421 |
420 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$926.88 |
| 99177 |
|
133 |
133 |
$447.20 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$323.18 |
| 96127 |
|
20 |
20 |
$85.20 |
| 36416 |
|
2,079 |
2,016 |
$79.32 |
| 97802 |
|
40 |
40 |
$0.00 |