| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,195 |
1,858 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,219 |
1,218 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
184 |
184 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
250 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
219 |
$22K |
| 99441 |
|
203 |
195 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,262 |
1,219 |
$8K |
| 92502 |
|
88 |
87 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
501 |
491 |
$7K |
| 99382 |
|
63 |
63 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
93 |
92 |
$5K |
| 99401 |
|
159 |
157 |
$4K |
| 99385 |
|
23 |
23 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
95 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$2K |
| 99442 |
|
28 |
28 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
86 |
$896.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$588.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$546.82 |
| 85018 |
|
336 |
333 |
$469.89 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,115 |
1,071 |
$309.77 |
| 83655 |
|
36 |
36 |
$300.15 |
| 81002 |
|
17 |
17 |
$32.06 |
| 36415 |
Collection of venous blood by venipuncture |
115 |
113 |
$15.09 |
| 94760 |
|
1,897 |
1,804 |
$12.60 |
| 92551 |
|
17 |
17 |
$12.39 |
| G4028 |
Podiatry mips specialty set |
152 |
152 |
$0.25 |
| 99080 |
|
586 |
582 |
$0.00 |
| 2010F |
|
145 |
140 |
$0.00 |
| 99000 |
|
1,394 |
1,339 |
$0.00 |
| 36416 |
|
145 |
144 |
$0.00 |