| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,194 |
12,793 |
$733K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,968 |
3,372 |
$270K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,047 |
2,442 |
$57K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,312 |
863 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,192 |
1,034 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
502 |
396 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,076 |
663 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
516 |
246 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
437 |
408 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
50 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
86 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
67 |
$3K |
| 99051 |
|
325 |
259 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
142 |
130 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
728 |
563 |
$2K |
| 92551 |
|
305 |
272 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
219 |
$2K |
| 99174 |
|
602 |
496 |
$1K |
| 96127 |
|
442 |
296 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
255 |
214 |
$876.75 |
| 87081 |
|
127 |
118 |
$685.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
54 |
$558.41 |
| 99173 |
|
459 |
367 |
$499.62 |
| 96160 |
|
72 |
63 |
$181.36 |
| 81002 |
|
22 |
15 |
$24.26 |
| 90686 |
|
1,182 |
1,060 |
$23.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
72 |
$6.80 |
| 90647 |
|
95 |
76 |
$0.10 |
| 90685 |
|
12 |
12 |
$0.09 |
| 3008F |
|
1,559 |
1,352 |
$0.00 |
| 90677 |
|
373 |
363 |
$0.00 |
| 90696 |
|
20 |
18 |
$0.00 |
| 90716 |
|
20 |
18 |
$0.00 |
| 90723 |
|
55 |
49 |
$0.00 |
| 90656 |
|
35 |
32 |
$0.00 |
| 90651 |
|
28 |
27 |
$0.00 |
| 90670 |
|
55 |
52 |
$0.00 |
| 90707 |
|
20 |
18 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90681 |
|
17 |
17 |
$0.00 |