| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,100 |
5,156 |
$240K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,108 |
1,034 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
493 |
491 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
338 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
312 |
307 |
$30K |
| 87430 |
|
2,140 |
1,967 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
130 |
$12K |
| 99173 |
|
1,603 |
1,588 |
$6K |
| 87631 |
|
33 |
32 |
$5K |
| 99188 |
|
244 |
244 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
583 |
528 |
$5K |
| 92551 |
|
1,527 |
1,510 |
$4K |
| 99080 |
|
99 |
99 |
$3K |
| 90686 |
|
642 |
595 |
$3K |
| 90672 |
|
287 |
262 |
$1K |
| 90700 |
|
258 |
241 |
$1K |
| 90713 |
|
137 |
121 |
$855.00 |
| 90651 |
|
129 |
117 |
$793.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$562.95 |
| 90648 |
|
97 |
90 |
$506.00 |
| 87807 |
|
34 |
33 |
$451.78 |
| 90670 |
|
67 |
55 |
$343.00 |
| 96127 |
|
559 |
558 |
$284.30 |
| 90707 |
|
12 |
12 |
$132.00 |
| 90734 |
|
12 |
12 |
$132.00 |
| 90620 |
|
12 |
12 |
$121.00 |
| 96160 |
|
624 |
623 |
$109.21 |
| 96161 |
|
25 |
25 |
$84.26 |
| 82947 |
|
12 |
12 |
$40.78 |
| 80061 |
Lipid panel |
12 |
12 |
$34.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$7.69 |
| 90674 |
|
67 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
242 |
241 |
$0.00 |
| 36416 |
|
16 |
15 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |