| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,909 |
4,298 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,325 |
2,203 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,339 |
1,313 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,194 |
1,180 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
854 |
843 |
$59K |
| 92551 |
|
1,714 |
1,671 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,827 |
881 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
362 |
$25K |
| 90698 |
|
878 |
867 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
183 |
181 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
445 |
$6K |
| 90670 |
|
1,090 |
1,074 |
$6K |
| 90686 |
|
1,038 |
1,022 |
$6K |
| 90680 |
|
711 |
706 |
$4K |
| 90744 |
|
577 |
569 |
$3K |
| 90633 |
|
508 |
499 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
38 |
38 |
$3K |
| 90710 |
|
101 |
101 |
$2K |
| 87807 |
|
167 |
161 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
39 |
$2K |
| 90696 |
|
60 |
60 |
$1K |
| 90700 |
|
63 |
63 |
$1K |
| 90651 |
|
178 |
176 |
$1K |
| 90707 |
|
51 |
51 |
$894.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
50 |
$889.49 |
| 99460 |
|
13 |
13 |
$857.17 |
| 90715 |
|
48 |
48 |
$818.59 |
| 99381 |
|
13 |
13 |
$801.64 |
| 90734 |
|
138 |
135 |
$755.15 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$707.67 |
| 90685 |
|
85 |
80 |
$445.80 |
| 80061 |
Lipid panel |
26 |
26 |
$394.62 |
| 90716 |
|
53 |
52 |
$292.70 |
| 82947 |
|
57 |
57 |
$274.19 |
| 90648 |
|
24 |
24 |
$137.93 |
| 92015 |
Determination of refractive state |
17 |
17 |
$92.82 |
| 90621 |
|
14 |
13 |
$65.33 |