| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
835 |
763 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
500 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
272 |
271 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
480 |
385 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
195 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
206 |
$11K |
| 90461 |
|
138 |
138 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
83 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
213 |
201 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
100 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
248 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
115 |
112 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
271 |
256 |
$2K |
| 83655 |
|
157 |
154 |
$1K |
| 92587 |
|
73 |
70 |
$1K |
| 99177 |
|
247 |
242 |
$554.25 |
| 36416 |
|
293 |
242 |
$385.59 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |