| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,475 |
2,986 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,622 |
1,436 |
$128K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,509 |
1,301 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
674 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
633 |
528 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
393 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
117 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
623 |
569 |
$10K |
| 90686 |
|
667 |
606 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
119 |
96 |
$5K |
| 87428 |
|
76 |
70 |
$5K |
| 90670 |
|
295 |
244 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
222 |
$4K |
| 99252 |
|
104 |
104 |
$4K |
| 90677 |
|
34 |
25 |
$3K |
| 96127 |
|
184 |
144 |
$3K |
| 90661 |
|
80 |
76 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
54 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
14 |
$1K |
| 90723 |
|
78 |
64 |
$906.11 |
| 90647 |
|
62 |
54 |
$761.67 |
| 36416 |
|
196 |
162 |
$751.12 |
| 0071A |
|
19 |
17 |
$674.24 |
| 0001A |
|
15 |
15 |
$632.10 |
| 0002A |
|
14 |
14 |
$589.96 |
| 87807 |
|
58 |
56 |
$583.48 |
| 94760 |
|
335 |
275 |
$447.81 |
| 90680 |
|
41 |
38 |
$399.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$333.45 |
| 83655 |
|
24 |
24 |
$284.64 |
| 90633 |
|
22 |
12 |
$140.80 |
| 90648 |
|
13 |
13 |
$83.20 |
| 91300 |
|
22 |
18 |
$22.67 |
| 91307 |
|
15 |
13 |
$0.04 |