| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,874 |
3,346 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,756 |
1,454 |
$95K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
124 |
106 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
173 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
107 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
108 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
136 |
107 |
$5K |
| 90686 |
|
447 |
369 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
49 |
$3K |
| 0071A |
|
17 |
17 |
$2K |
| 90674 |
|
128 |
115 |
$2K |
| 92551 |
|
160 |
141 |
$1K |
| 90688 |
|
85 |
78 |
$739.74 |
| 99173 |
|
49 |
43 |
$739.15 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
29 |
13 |
$543.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$529.18 |
| 90698 |
|
43 |
38 |
$418.51 |
| 90670 |
|
29 |
27 |
$258.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
13 |
$199.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$154.44 |
| 90680 |
|
12 |
12 |
$114.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
72 |
$88.00 |
| 91307 |
|
56 |
50 |
$0.55 |
| 99072 |
|
422 |
388 |
$0.00 |