| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,438 |
3,750 |
$119K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,049 |
994 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,309 |
1,098 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,854 |
1,743 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,706 |
735 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
216 |
$16K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
568 |
526 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
140 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
138 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
88 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132 |
127 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,118 |
1,043 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
83 |
$5K |
| 87428 |
|
33 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
92 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
86 |
$2K |
| 97169 |
|
22 |
20 |
$657.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
42 |
$390.17 |
| 87807 |
|
47 |
45 |
$275.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$229.25 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$229.25 |
| 87581 |
|
14 |
14 |
$196.50 |
| 96160 |
|
92 |
90 |
$78.09 |
| 90686 |
|
83 |
82 |
$35.99 |
| 81003 |
|
30 |
29 |
$24.57 |
| 81002 |
|
12 |
12 |
$20.44 |
| 90671 |
|
51 |
51 |
$0.08 |
| 90620 |
|
36 |
36 |
$0.04 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90461 |
|
135 |
114 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90697 |
|
31 |
31 |
$0.00 |
| 90656 |
|
111 |
109 |
$0.00 |
| 90619 |
|
32 |
32 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |