| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,358 |
3,584 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
447 |
444 |
$38K |
| 87428 |
|
753 |
708 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,279 |
1,192 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
790 |
436 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
165 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
344 |
323 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
506 |
504 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
646 |
607 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
129 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
218 |
$3K |
| 81002 |
|
971 |
893 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
330 |
183 |
$3K |
| 82947 |
|
747 |
684 |
$2K |
| 0001A |
|
56 |
56 |
$2K |
| 0002A |
|
53 |
52 |
$2K |
| 0071A |
|
29 |
29 |
$1K |
| 80061 |
Lipid panel |
100 |
99 |
$816.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$720.60 |
| 0072A |
|
15 |
15 |
$520.00 |
| 87430 |
|
110 |
100 |
$245.66 |
| 90688 |
|
12 |
12 |
$137.76 |
| 90461 |
|
46 |
12 |
$3.60 |
| 90686 |
|
623 |
622 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,124 |
1,004 |
$0.00 |
| 90650 |
|
33 |
33 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90734 |
|
60 |
60 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |