| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,520 |
2,321 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
941 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
722 |
644 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
431 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,778 |
1,718 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
285 |
$22K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
63 |
55 |
$20K |
| 90461 |
|
947 |
921 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
174 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
146 |
129 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
128 |
64 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
144 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
369 |
323 |
$7K |
| 92552 |
|
341 |
329 |
$7K |
| 86769 |
|
104 |
52 |
$4K |
| 86003 |
|
15 |
13 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
330 |
312 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
188 |
$2K |
| 99177 |
|
537 |
525 |
$2K |
| 87634 |
|
32 |
31 |
$2K |
| 90672 |
|
63 |
63 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
451 |
426 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$504.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$380.75 |
| 90686 |
|
75 |
74 |
$262.72 |
| 87807 |
|
13 |
12 |
$176.50 |
| 80061 |
Lipid panel |
16 |
16 |
$170.76 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$145.62 |
| 83655 |
|
12 |
12 |
$123.13 |
| 81003 |
|
22 |
22 |
$42.02 |
| 90734 |
|
12 |
12 |
$15.19 |
| 90715 |
|
14 |
14 |
$0.00 |