| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,592 |
2,042 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,533 |
1,233 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
197 |
$32K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
252 |
229 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
87 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
76 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
28 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,633 |
964 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
602 |
502 |
$690.80 |
| 90686 |
|
207 |
193 |
$438.13 |
| 90700 |
|
38 |
30 |
$344.16 |
| 90680 |
|
16 |
12 |
$96.02 |
| 90685 |
|
43 |
32 |
$34.01 |
| 86580 |
|
159 |
155 |
$30.99 |
| 81002 |
|
203 |
194 |
$27.49 |
| 90648 |
|
39 |
28 |
$24.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
458 |
217 |
$19.86 |
| 99173 |
|
86 |
84 |
$12.55 |
| 90461 |
|
230 |
211 |
$12.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
64 |
$5.88 |
| 92567 |
|
13 |
12 |
$0.00 |
| 96127 |
|
61 |
31 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
602 |
$0.00 |
| 90670 |
|
44 |
30 |
$0.00 |
| 99072 |
|
166 |
154 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
55 |
$0.00 |