| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,925 |
1,876 |
$690K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,444 |
8,596 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,699 |
2,570 |
$158K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,960 |
1,850 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
565 |
564 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
263 |
263 |
$34K |
| 92551 |
|
1,817 |
1,811 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
127 |
127 |
$17K |
| 99385 |
|
102 |
102 |
$14K |
| 86328 |
|
227 |
225 |
$10K |
| 99173 |
|
1,668 |
1,661 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
250 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
177 |
$5K |
| 81003 |
|
2,506 |
2,450 |
$4K |
| 87428 |
|
53 |
49 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
23 |
$3K |
| 96127 |
|
382 |
379 |
$2K |
| G9920 |
Screening performed and negative |
53 |
53 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
46 |
$739.26 |
| 85018 |
|
259 |
259 |
$398.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$212.42 |
| 87400 |
|
36 |
17 |
$207.28 |
| 81002 |
|
45 |
44 |
$75.68 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
115 |
115 |
$10.00 |
| 3074F |
|
361 |
337 |
$0.00 |
| 3079F |
|
90 |
87 |
$0.00 |
| 3080F |
|
161 |
154 |
$0.00 |
| 3075F |
|
49 |
48 |
$0.00 |
| 3078F |
|
347 |
323 |
$0.00 |
| 3725F |
|
240 |
239 |
$0.00 |
| 3077F |
|
251 |
240 |
$0.00 |