| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,612 |
3,085 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,216 |
2,836 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
957 |
896 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
661 |
605 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
787 |
737 |
$50K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
234 |
229 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
676 |
652 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,052 |
1,000 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
538 |
513 |
$24K |
| 87634 |
|
298 |
282 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
555 |
229 |
$13K |
| 90670 |
|
581 |
575 |
$11K |
| 87430 |
|
800 |
758 |
$10K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
172 |
164 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
945 |
842 |
$9K |
| 90647 |
|
449 |
442 |
$8K |
| 90723 |
|
438 |
432 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
391 |
364 |
$8K |
| 87070 |
|
710 |
674 |
$7K |
| 90680 |
|
355 |
352 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
84 |
$6K |
| 90685 |
|
187 |
180 |
$3K |
| 87807 |
|
298 |
290 |
$3K |
| 36416 |
|
1,285 |
1,055 |
$3K |
| 90633 |
|
114 |
112 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
98 |
90 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90671 |
|
109 |
99 |
$2K |
| 90674 |
|
69 |
69 |
$1K |
| 90686 |
|
48 |
48 |
$949.92 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$774.25 |
| 99173 |
|
92 |
87 |
$420.00 |
| 81002 |
|
132 |
121 |
$357.69 |
| 90700 |
|
12 |
12 |
$237.48 |
| 90707 |
|
13 |
12 |
$217.69 |
| 92551 |
|
14 |
13 |
$40.00 |
| 94760 |
|
438 |
358 |
$0.00 |
| 99051 |
|
76 |
72 |
$0.00 |