| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,932 |
2,365 |
$188K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
797 |
797 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
166 |
$16K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
750 |
703 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
699 |
668 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
38 |
38 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 99442 |
|
62 |
62 |
$4K |
| 99401 |
|
118 |
115 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
77 |
76 |
$3K |
| 94760 |
|
2,231 |
2,052 |
$2K |
| 99441 |
|
60 |
59 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
73 |
$2K |
| 92502 |
|
33 |
32 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
98 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
156 |
$872.70 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
225 |
210 |
$857.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$827.36 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
44 |
$563.00 |
| 87400 |
|
77 |
76 |
$346.50 |
| 99304 |
|
96 |
86 |
$262.01 |
| 85018 |
|
130 |
130 |
$155.49 |
| 91320 |
|
56 |
55 |
$117.99 |
| 83655 |
|
15 |
15 |
$106.20 |
| 90480 |
|
33 |
32 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$4.50 |
| 99000 |
|
1,699 |
1,563 |
$0.00 |
| 2010F |
|
24 |
24 |
$0.00 |
| 36416 |
|
39 |
39 |
$0.00 |
| G4028 |
Podiatry mips specialty set |
87 |
87 |
$0.00 |
| 90732 |
|
15 |
15 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
45 |
40 |
$0.00 |
| 99080 |
|
281 |
279 |
$0.00 |