| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,765 |
1,599 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
329 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
310 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
361 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
304 |
304 |
$24K |
| 92551 |
|
609 |
606 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,038 |
508 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
84 |
84 |
$10K |
| 90698 |
|
197 |
197 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
205 |
202 |
$3K |
| 90670 |
|
275 |
275 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
39 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
64 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
17 |
$1K |
| 87807 |
|
94 |
89 |
$1K |
| 90680 |
|
151 |
151 |
$1K |
| 90633 |
|
146 |
146 |
$961.76 |
| 90686 |
|
117 |
115 |
$740.51 |
| 90744 |
|
102 |
102 |
$685.41 |
| 90685 |
|
65 |
65 |
$418.52 |
| 80061 |
Lipid panel |
24 |
24 |
$336.82 |
| 90700 |
|
13 |
13 |
$255.17 |
| 90651 |
|
35 |
35 |
$223.86 |
| 92015 |
Determination of refractive state |
16 |
16 |
$100.60 |
| 82947 |
|
24 |
24 |
$98.77 |