| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,227 |
1,069 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
293 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
142 |
130 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
58 |
$5K |
| 90686 |
|
323 |
270 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
46 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
42 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
67 |
$1K |
| 90656 |
|
74 |
63 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
28 |
$900.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$360.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$313.00 |
| 87430 |
|
16 |
14 |
$251.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
204 |
$16.18 |
| 90461 |
|
17 |
15 |
$0.00 |
| 99072 |
|
24 |
23 |
$0.00 |