| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,073 |
6,003 |
$251K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,748 |
5,853 |
$156K |
| 87428 |
|
2,965 |
2,629 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
922 |
911 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
727 |
723 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,221 |
3,837 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,456 |
1,227 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,344 |
1,586 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,062 |
1,892 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,687 |
4,268 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
348 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
373 |
247 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,960 |
1,794 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
796 |
765 |
$20K |
| 92551 |
|
3,067 |
3,005 |
$19K |
| 99000 |
|
2,059 |
1,947 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
331 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
263 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
324 |
314 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
118 |
$9K |
| 86580 |
|
1,013 |
1,001 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
72 |
$5K |
| 93000 |
|
452 |
438 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
94 |
$4K |
| 99051 |
|
843 |
792 |
$3K |
| 97169 |
|
76 |
70 |
$3K |
| 90461 |
|
331 |
268 |
$3K |
| 99354 |
|
127 |
113 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
269 |
$2K |
| 83655 |
|
192 |
188 |
$2K |
| 96160 |
|
974 |
943 |
$2K |
| 74018 |
|
58 |
57 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 82947 |
|
200 |
177 |
$538.82 |
| 99408 |
|
27 |
27 |
$465.75 |
| 80061 |
Lipid panel |
40 |
40 |
$425.48 |
| 99429 |
|
13 |
13 |
$422.22 |
| 70360 |
|
15 |
13 |
$318.24 |
| 81002 |
|
104 |
93 |
$267.90 |
| 90656 |
|
174 |
173 |
$157.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$148.00 |
| 90677 |
|
70 |
69 |
$116.07 |
| 96381 |
|
14 |
12 |
$115.92 |
| 96161 |
|
200 |
198 |
$29.25 |
| 96127 |
|
616 |
598 |
$13.27 |
| 90686 |
|
701 |
686 |
$0.42 |
| 90651 |
|
150 |
149 |
$0.23 |
| 90620 |
|
26 |
26 |
$0.02 |
| 36415 |
Collection of venous blood by venipuncture |
4,279 |
3,878 |
$0.00 |
| 3079F |
|
1,182 |
1,088 |
$0.00 |
| 3074F |
|
9,396 |
7,806 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| 3048F |
|
442 |
410 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 3008F |
|
250 |
238 |
$0.00 |
| 99173 |
|
3,263 |
3,196 |
$0.00 |
| 3078F |
|
8,268 |
7,016 |
$0.00 |
| 1159F |
|
101 |
89 |
$0.00 |
| 99401 |
|
241 |
206 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 1160F |
|
137 |
122 |
$0.00 |
| 90670 |
|
53 |
53 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |
| 90734 |
|
81 |
81 |
$0.00 |