| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,901 |
3,531 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
501 |
438 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,739 |
1,629 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
139 |
133 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
47 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 90688 |
|
644 |
629 |
$4K |
| 99051 |
|
74 |
74 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$990.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$761.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
69 |
$694.87 |
| 90686 |
|
72 |
71 |
$644.60 |
| 92551 |
|
482 |
421 |
$303.95 |
| 90672 |
|
36 |
36 |
$190.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
15 |
$176.09 |
| 96127 |
|
182 |
165 |
$163.16 |
| 90698 |
|
14 |
14 |
$154.00 |
| 90670 |
|
13 |
13 |
$130.00 |
| 99173 |
|
77 |
70 |
$91.14 |
| 90461 |
|
53 |
53 |
$55.02 |
| 80061 |
Lipid panel |
13 |
12 |
$43.40 |
| 96160 |
|
192 |
186 |
$1.92 |
| 99072 |
|
679 |
608 |
$0.00 |
| G9920 |
Screening performed and negative |
33 |
33 |
$0.00 |
| 90671 |
|
54 |
51 |
$0.00 |
| 90661 |
|
152 |
152 |
$0.00 |
| 83655 |
|
24 |
24 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
59 |
55 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |