| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,831 |
3,902 |
$396K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,127 |
2,494 |
$33K |
| 87428 |
|
1,164 |
958 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
366 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
323 |
291 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
215 |
211 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
455 |
290 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
527 |
494 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
131 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,078 |
848 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
101 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
241 |
234 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
701 |
513 |
$6K |
| 87400 |
|
530 |
387 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
124 |
$2K |
| 87581 |
|
60 |
52 |
$1K |
| 90474 |
|
305 |
174 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
40 |
$844.40 |
| 36415 |
Collection of venous blood by venipuncture |
174 |
143 |
$675.74 |
| 92551 |
|
91 |
88 |
$615.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
77 |
$586.55 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$558.60 |
| 99173 |
|
244 |
234 |
$438.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$231.82 |
| 80061 |
Lipid panel |
26 |
26 |
$225.35 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
54 |
$222.34 |
| 87807 |
|
13 |
13 |
$153.27 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22 |
15 |
$68.37 |
| 90715 |
|
66 |
62 |
$35.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
13 |
$30.59 |
| 82570 |
|
12 |
12 |
$26.39 |
| 81001 |
|
13 |
13 |
$19.79 |
| 96160 |
|
12 |
12 |
$14.49 |
| 90686 |
|
35 |
31 |
$10.76 |
| 90697 |
|
257 |
135 |
$0.00 |
| 1036F |
|
96 |
74 |
$0.00 |
| 90677 |
|
86 |
61 |
$0.00 |
| 90651 |
|
38 |
37 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| 3074F |
|
17 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90670 |
|
80 |
76 |
$0.00 |
| 90671 |
|
272 |
132 |
$0.00 |
| 90710 |
|
45 |
42 |
$0.00 |
| 90681 |
|
310 |
177 |
$0.00 |
| 90633 |
|
41 |
37 |
$0.00 |
| 1160F |
|
39 |
36 |
$0.00 |
| 1159F |
|
39 |
36 |
$0.00 |
| 3078F |
|
17 |
14 |
$0.00 |
| 90648 |
|
15 |
12 |
$0.00 |