| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,457 |
7,924 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,709 |
3,123 |
$205K |
| 99215 |
Prolong outpt/office vis |
533 |
453 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
496 |
459 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
554 |
425 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
780 |
291 |
$14K |
| 96160 |
|
1,456 |
777 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
716 |
619 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
66 |
64 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
139 |
134 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
394 |
206 |
$4K |
| 92551 |
|
424 |
339 |
$3K |
| 99173 |
|
439 |
356 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
26 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
53 |
$2K |
| 96127 |
|
173 |
86 |
$905.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
438 |
341 |
$672.57 |
| 3008F |
|
1,002 |
855 |
$622.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
15 |
$364.34 |
| 81002 |
|
90 |
60 |
$147.17 |
| 90686 |
|
135 |
100 |
$101.65 |
| 36416 |
|
14 |
13 |
$26.80 |
| 90461 |
|
27 |
15 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
26 |
14 |
$0.00 |
| 99000 |
|
73 |
67 |
$0.00 |
| 87428 |
|
154 |
148 |
$0.00 |