| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,593 |
3,010 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
287 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
275 |
206 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
373 |
350 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
90 |
$7K |
| 90686 |
|
542 |
497 |
$6K |
| 0071A |
|
128 |
87 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
386 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
42 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
39 |
$4K |
| 0072A |
|
86 |
85 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
38 |
$2K |
| 87999 |
|
110 |
103 |
$2K |
| 96127 |
|
116 |
99 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
34 |
$2K |
| 90656 |
|
71 |
69 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
13 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$549.60 |
| 90670 |
|
37 |
29 |
$463.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
26 |
$455.30 |
| 90619 |
|
14 |
14 |
$233.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$209.03 |
| 91307 |
|
116 |
71 |
$178.77 |
| 90710 |
|
14 |
12 |
$89.60 |
| 90696 |
|
14 |
12 |
$89.60 |
| 90734 |
|
13 |
13 |
$83.20 |
| 90698 |
|
13 |
13 |
$83.20 |
| 94760 |
|
15 |
15 |
$66.00 |
| 81002 |
|
13 |
13 |
$33.80 |
| 99072 |
|
274 |
244 |
$0.00 |
| 1003F |
|
148 |
132 |
$0.00 |
| 1160F |
|
2,100 |
1,691 |
$0.00 |
| 1159F |
|
2,099 |
1,690 |
$0.00 |
| 3078F |
|
1,196 |
977 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 3074F |
|
1,272 |
1,033 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |