| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,060 |
3,729 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,295 |
1,568 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,094 |
741 |
$59K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
802 |
605 |
$44K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,098 |
1,327 |
$39K |
| 92551 |
|
4,162 |
2,756 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
560 |
523 |
$16K |
| 99401 |
|
874 |
757 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
533 |
211 |
$7K |
| 99384 |
|
72 |
59 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
124 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
118 |
109 |
$4K |
| 99173 |
|
4,453 |
2,914 |
$3K |
| 85018 |
|
3,635 |
2,488 |
$3K |
| 80061 |
Lipid panel |
339 |
244 |
$3K |
| 96127 |
|
1,239 |
757 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
28 |
$2K |
| 96160 |
|
1,330 |
836 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
519 |
446 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
45 |
$1K |
| 87634 |
|
16 |
15 |
$825.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
40 |
$539.40 |
| 83655 |
|
12 |
12 |
$117.72 |
| 36416 |
|
3,193 |
1,996 |
$4.75 |
| 3008F |
|
4,890 |
3,108 |
$0.00 |