| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 54150 |
|
709 |
662 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,265 |
2,914 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,276 |
1,226 |
$72K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
753 |
682 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
789 |
709 |
$40K |
| 99460 |
|
290 |
276 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
891 |
816 |
$23K |
| 90670 |
|
829 |
792 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
89 |
84 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
105 |
$6K |
| 90698 |
|
442 |
425 |
$6K |
| 87631 |
|
39 |
38 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
55 |
$3K |
| 99381 |
|
44 |
44 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
41 |
$2K |
| 90681 |
|
160 |
149 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
518 |
472 |
$1K |
| 90744 |
|
110 |
103 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
68 |
$836.55 |
| 90677 |
|
58 |
58 |
$762.12 |
| 90633 |
|
51 |
48 |
$617.58 |
| 87807 |
|
50 |
49 |
$611.47 |
| 90648 |
|
51 |
49 |
$609.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
19 |
$547.80 |
| 90686 |
|
34 |
29 |
$432.60 |
| 90671 |
|
47 |
46 |
$420.48 |
| 90710 |
|
31 |
27 |
$354.78 |
| 96127 |
|
117 |
109 |
$339.68 |
| 90657 |
|
27 |
24 |
$239.00 |
| 90697 |
|
13 |
13 |
$200.85 |
| 90658 |
|
19 |
19 |
$174.58 |
| 88738 |
|
12 |
12 |
$66.87 |
| 82950 |
|
12 |
12 |
$61.02 |
| 3008F |
|
2,913 |
2,579 |
$0.00 |