| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,425 |
4,040 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,391 |
2,331 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
78 |
$936.75 |
| 92551 |
|
179 |
179 |
$925.68 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$816.00 |
| 99173 |
|
191 |
191 |
$790.00 |
| G0008 |
Administration of influenza virus vaccine |
82 |
82 |
$726.00 |
| 81002 |
|
175 |
166 |
$646.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$343.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$272.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
22 |
$265.86 |
| 90686 |
|
13 |
13 |
$123.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
801 |
798 |
$0.00 |
| 3066F |
|
28 |
27 |
$0.00 |
| 3061F |
|
138 |
122 |
$0.00 |
| 3079F |
|
135 |
129 |
$0.00 |
| 4010F |
|
28 |
26 |
$0.00 |
| 3078F |
|
137 |
127 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |