| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
238 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$507.52 |
| 0072A |
|
12 |
12 |
$492.00 |
| 90688 |
|
35 |
30 |
$180.01 |
| 96160 |
|
12 |
12 |
$19.16 |
| 99173 |
|
12 |
12 |
$0.01 |
| 3074F |
|
482 |
474 |
$0.00 |
| 1111F |
|
219 |
219 |
$0.00 |
| 3008F |
|
65 |
65 |
$0.00 |
| 3078F |
|
424 |
417 |
$0.00 |