| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,803 |
23,154 |
$1.19M |
| 87428 |
|
4,685 |
4,531 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,238 |
2,046 |
$149K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,553 |
4,988 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,165 |
1,149 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,009 |
1,771 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,390 |
2,881 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
737 |
727 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
771 |
718 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
414 |
398 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
254 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,161 |
1,117 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
857 |
416 |
$11K |
| 92552 |
|
868 |
856 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
977 |
735 |
$7K |
| 87807 |
|
676 |
613 |
$7K |
| 90461 |
|
1,255 |
1,041 |
$4K |
| 96112 |
|
44 |
38 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 87430 |
|
57 |
57 |
$680.80 |
| 0072A |
|
15 |
15 |
$652.00 |
| 0071A |
|
13 |
13 |
$572.00 |
| 99000 |
|
66 |
57 |
$503.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$165.00 |
| 90686 |
|
936 |
907 |
$98.94 |
| 80053 |
Comprehensive metabolic panel |
16 |
12 |
$36.63 |
| 90651 |
|
14 |
13 |
$0.00 |
| 1111F |
|
157 |
150 |
$0.00 |
| 90677 |
|
164 |
161 |
$0.00 |
| 90698 |
|
52 |
52 |
$0.00 |
| 90656 |
|
118 |
118 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 90697 |
|
67 |
67 |
$0.00 |
| 90680 |
|
250 |
247 |
$0.00 |
| 99051 |
|
5,167 |
4,916 |
$0.00 |
| 3288F |
|
87 |
81 |
$0.00 |
| 90670 |
|
408 |
401 |
$0.00 |
| 99173 |
|
1,062 |
1,039 |
$0.00 |
| 90633 |
|
81 |
79 |
$0.00 |
| 99177 |
|
182 |
179 |
$0.00 |
| 3725F |
|
71 |
68 |
$0.00 |