| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,788 |
5,903 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,503 |
3,859 |
$290K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,962 |
1,839 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,964 |
1,871 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,355 |
1,280 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,211 |
1,155 |
$63K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
266 |
253 |
$52K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
808 |
752 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,430 |
648 |
$33K |
| 87430 |
|
2,324 |
2,157 |
$28K |
| 87070 |
|
1,920 |
1,792 |
$18K |
| 87634 |
|
367 |
328 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
196 |
190 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
382 |
362 |
$9K |
| 90670 |
|
883 |
854 |
$7K |
| 90461 |
|
116 |
99 |
$6K |
| 90647 |
|
656 |
637 |
$5K |
| 90723 |
|
578 |
567 |
$5K |
| 81002 |
|
1,481 |
1,391 |
$4K |
| 90680 |
|
432 |
428 |
$3K |
| 90633 |
|
349 |
330 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
117 |
104 |
$2K |
| 90686 |
|
142 |
142 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
26 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
56 |
$1K |
| 90671 |
|
166 |
157 |
$1K |
| 36416 |
|
596 |
474 |
$1K |
| 85014 |
|
801 |
772 |
$889.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
17 |
$840.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
90 |
82 |
$828.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$561.60 |
| 70210 |
|
19 |
18 |
$378.00 |
| 90685 |
|
41 |
41 |
$304.00 |
| 99173 |
|
26 |
25 |
$92.00 |
| 90696 |
|
13 |
12 |
$88.00 |
| 90710 |
|
13 |
12 |
$88.00 |
| 94760 |
|
458 |
376 |
$0.00 |
| 99051 |
|
87 |
86 |
$0.00 |