| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,021 |
3,683 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,620 |
1,535 |
$166K |
| 99401 |
|
520 |
493 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
273 |
261 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
3,095 |
2,973 |
$13K |
| 96127 |
|
3,109 |
2,956 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
346 |
338 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
152 |
140 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,347 |
1,317 |
$4K |
| 99051 |
|
209 |
202 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
95 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
56 |
53 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
143 |
142 |
$1K |
| 81002 |
|
620 |
614 |
$1K |
| 90682 |
|
14 |
14 |
$759.60 |
| 90686 |
|
47 |
47 |
$652.95 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$632.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$569.70 |
| 99406 |
|
27 |
26 |
$361.27 |
| 90688 |
|
55 |
55 |
$219.71 |
| 87070 |
|
12 |
12 |
$93.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$92.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$60.64 |
| 92551 |
|
236 |
236 |
$37.90 |
| 1036F |
|
2,598 |
2,435 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,538 |
2,407 |
$0.00 |
| 99173 |
|
106 |
106 |
$0.00 |
| 4004F |
|
31 |
29 |
$0.00 |
| 4124F |
|
29 |
28 |
$0.00 |