| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,801 |
2,571 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,074 |
528 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
300 |
267 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
235 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
452 |
218 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
133 |
129 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
45 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
134 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
419 |
395 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
13 |
$593.72 |
| 0002A |
|
68 |
68 |
$578.78 |
| T1015 |
Clinic visit/encounter, all-inclusive |
93 |
69 |
$512.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$397.65 |
| 0001A |
|
58 |
58 |
$390.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$196.14 |
| 92551 |
|
30 |
27 |
$144.82 |
| 90686 |
|
60 |
57 |
$14.00 |
| 90461 |
|
60 |
55 |
$12.40 |
| 90697 |
|
26 |
26 |
$0.12 |
| 90656 |
|
53 |
52 |
$0.00 |
| 3074F |
|
1,090 |
1,024 |
$0.00 |
| 3008F |
|
1,412 |
1,316 |
$0.00 |
| 1036F |
|
491 |
433 |
$0.00 |
| 90674 |
|
19 |
17 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12 |
12 |
$0.00 |
| 1159F |
|
2,533 |
2,198 |
$0.00 |
| 1160F |
|
2,536 |
2,200 |
$0.00 |
| 3078F |
|
988 |
930 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |