| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,598 |
10,659 |
$466K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,796 |
4,189 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,403 |
1,391 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,336 |
1,329 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,987 |
1,887 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,275 |
1,258 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,081 |
2,155 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,046 |
1,893 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,779 |
3,554 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
652 |
638 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,987 |
4,542 |
$32K |
| S8301 |
Infection control supplies, not otherwise specified |
3,563 |
3,047 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,238 |
1,106 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
921 |
896 |
$10K |
| 90461 |
|
1,132 |
975 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
208 |
164 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
91 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
294 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
29 |
$825.44 |
| 83655 |
|
71 |
71 |
$722.07 |
| 92567 |
|
45 |
45 |
$517.95 |
| 90473 |
|
49 |
49 |
$368.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$325.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$197.22 |
| 90686 |
|
865 |
856 |
$183.39 |
| 81002 |
|
27 |
24 |
$75.92 |
| 92552 |
|
60 |
60 |
$10.39 |
| 90651 |
|
246 |
243 |
$0.10 |
| 90672 |
|
212 |
207 |
$0.05 |
| 90677 |
|
76 |
75 |
$0.03 |
| 90671 |
|
44 |
44 |
$0.02 |
| 90620 |
|
172 |
172 |
$0.02 |
| 90670 |
|
572 |
570 |
$0.00 |
| 90710 |
|
153 |
152 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
232 |
231 |
$0.00 |
| 99173 |
|
241 |
241 |
$0.00 |
| 90633 |
|
215 |
212 |
$0.00 |
| 99072 |
|
30 |
21 |
$0.00 |
| 96160 |
|
20 |
18 |
$0.00 |
| 36416 |
|
4,747 |
4,394 |
$0.00 |
| 90698 |
|
680 |
678 |
$0.00 |
| 90680 |
|
259 |
259 |
$0.00 |
| 90744 |
|
165 |
165 |
$0.00 |
| 96161 |
|
27 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |