| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,987 |
3,601 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,301 |
1,241 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
248 |
244 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
146 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
56 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
132 |
125 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
95 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
317 |
302 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
295 |
281 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
267 |
253 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 80061 |
Lipid panel |
68 |
67 |
$947.43 |
| 87430 |
|
126 |
116 |
$803.88 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
25 |
$638.25 |
| 0012A |
|
12 |
12 |
$528.00 |
| 90671 |
|
14 |
14 |
$396.56 |
| 90686 |
|
12 |
12 |
$281.00 |
| 90674 |
|
27 |
26 |
$275.60 |
| 87070 |
|
28 |
26 |
$211.64 |
| 90697 |
|
12 |
12 |
$132.00 |
| G9920 |
Screening performed and negative |
224 |
221 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |