| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,737 |
9,439 |
$5.29M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,218 |
2,714 |
$355K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,062 |
985 |
$176K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
643 |
504 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
132 |
$73K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,345 |
1,253 |
$54K |
| W0037 |
|
2,627 |
2,627 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
80 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
62 |
$38K |
| 90686 |
|
436 |
412 |
$26K |
| 0071A |
|
71 |
70 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,040 |
971 |
$18K |
| 0072A |
|
35 |
35 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,650 |
1,404 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$7K |
| 0003A |
|
14 |
12 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,766 |
1,203 |
$5K |
| 81002 |
|
762 |
710 |
$5K |
| 86780 |
|
21 |
12 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,274 |
596 |
$3K |
| 82465 |
|
138 |
120 |
$2K |
| 80061 |
Lipid panel |
167 |
165 |
$1K |
| 80053 |
Comprehensive metabolic panel |
348 |
345 |
$640.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
387 |
360 |
$28.40 |
| 99188 |
|
207 |
197 |
$0.00 |
| 91300 |
|
90 |
73 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90670 |
|
43 |
42 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,170 |
1,010 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
245 |
240 |
$0.00 |
| 81001 |
|
759 |
709 |
$0.00 |
| 81015 |
|
26 |
26 |
$0.00 |
| 91307 |
|
90 |
84 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |