| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,689 |
7,013 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,130 |
1,837 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,016 |
1,786 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,296 |
2,042 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
975 |
902 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,057 |
1,743 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
928 |
800 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
548 |
$6K |
| 96127 |
|
723 |
655 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
47 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
102 |
$2K |
| 92551 |
|
254 |
230 |
$2K |
| 81003 |
|
1,053 |
919 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
993 |
854 |
$1K |
| 99173 |
|
223 |
199 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$872.74 |
| 90674 |
|
122 |
119 |
$683.27 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$607.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
28 |
$436.15 |
| 90661 |
|
25 |
22 |
$108.00 |
| 36416 |
|
47 |
45 |
$94.50 |
| 99441 |
|
20 |
18 |
$81.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
26 |
$75.69 |
| 90756 |
|
15 |
13 |
$59.76 |
| 90716 |
|
13 |
12 |
$0.00 |
| 99000 |
|
59 |
53 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |