| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,123 |
9,393 |
$699K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,606 |
6,099 |
$699K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,397 |
3,224 |
$127K |
| 96127 |
|
3,194 |
3,086 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,645 |
1,589 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,414 |
1,369 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
188 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,730 |
827 |
$17K |
| 92551 |
|
2,708 |
2,625 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
287 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
91 |
$13K |
| 99051 |
|
1,179 |
1,115 |
$9K |
| 99173 |
|
1,244 |
1,201 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
780 |
748 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
40 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
357 |
346 |
$2K |
| 87081 |
|
385 |
370 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
53 |
$1K |
| 36416 |
|
391 |
376 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
26 |
$535.68 |
| 94760 |
|
140 |
127 |
$204.18 |
| 90686 |
|
2,066 |
2,019 |
$193.30 |
| 90674 |
|
278 |
267 |
$32.28 |
| 81002 |
|
71 |
67 |
$2.44 |
| 99072 |
|
10,401 |
9,456 |
$0.00 |
| 99000 |
|
471 |
455 |
$0.00 |
| 3008F |
|
3,305 |
3,212 |
$0.00 |
| 97802 |
|
3,441 |
3,340 |
$0.00 |