| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,723 |
3,294 |
$365K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,867 |
3,305 |
$239K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
816 |
$48K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
437 |
423 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
202 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
209 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,197 |
708 |
$15K |
| 90686 |
|
732 |
730 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
149 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
381 |
358 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
713 |
683 |
$8K |
| 87430 |
|
652 |
622 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
887 |
859 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
134 |
127 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
223 |
216 |
$6K |
| 90461 |
|
93 |
93 |
$5K |
| 87070 |
|
532 |
514 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
255 |
245 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
69 |
$901.60 |
| 90670 |
|
39 |
39 |
$677.49 |
| 81003 |
|
283 |
275 |
$662.39 |
| 87634 |
|
12 |
12 |
$556.56 |
| 99177 |
|
27 |
27 |
$392.86 |
| 90680 |
|
24 |
24 |
$380.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
24 |
$250.00 |
| 90698 |
|
12 |
12 |
$237.48 |
| 90685 |
|
12 |
12 |
$237.48 |
| 0071A |
|
13 |
13 |
$222.78 |
| 87807 |
|
16 |
15 |
$176.00 |
| 36416 |
|
63 |
51 |
$154.25 |
| 99173 |
|
32 |
25 |
$65.00 |
| 91307 |
|
13 |
12 |
$0.00 |