| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,948 |
2,484 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,339 |
2,792 |
$184K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
622 |
565 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
86 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
329 |
296 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,447 |
1,227 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
344 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
656 |
607 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
386 |
351 |
$2K |
| 90686 |
|
105 |
105 |
$2K |
| 90688 |
|
79 |
76 |
$2K |
| 86756 |
|
75 |
71 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$678.56 |
| 80050 |
General health panel |
15 |
15 |
$602.39 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
12 |
$599.36 |
| 96127 |
|
59 |
57 |
$540.62 |
| 90658 |
|
41 |
40 |
$437.84 |
| 80053 |
Comprehensive metabolic panel |
44 |
43 |
$325.03 |
| 80061 |
Lipid panel |
34 |
29 |
$281.74 |
| 90687 |
|
14 |
13 |
$257.66 |
| 90670 |
|
14 |
12 |
$237.84 |
| 90661 |
|
12 |
12 |
$174.74 |
| 81001 |
|
50 |
43 |
$118.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
92 |
$36.88 |
| 81003 |
|
15 |
12 |
$27.39 |
| 99000 |
|
39 |
37 |
$0.00 |
| 99172 |
|
157 |
152 |
$0.00 |
| 97802 |
|
99 |
96 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
61 |
61 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
18 |
16 |
$0.00 |