| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,620 |
2,560 |
$220K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,699 |
2,436 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,955 |
4,406 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,633 |
2,482 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,326 |
1,309 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,509 |
2,476 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
202 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
162 |
156 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
92 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
289 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
664 |
562 |
$1K |
| 83655 |
|
114 |
110 |
$895.47 |
| 90670 |
|
564 |
556 |
$617.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
267 |
261 |
$261.25 |
| 90648 |
|
148 |
148 |
$247.00 |
| 90716 |
|
38 |
38 |
$182.02 |
| 81002 |
|
523 |
509 |
$135.40 |
| 90633 |
|
117 |
117 |
$112.29 |
| 90686 |
|
25 |
25 |
$77.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
161 |
$44.47 |
| 90707 |
|
79 |
79 |
$34.01 |
| 90723 |
|
29 |
29 |
$20.00 |
| 90461 |
|
121 |
121 |
$0.00 |
| 99173 |
|
157 |
130 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
14 |
14 |
$0.00 |
| 36416 |
|
173 |
162 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |
| 99000 |
|
22 |
21 |
$0.00 |
| 96127 |
|
30 |
16 |
$0.00 |