| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,345 |
2,184 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
171 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
180 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
186 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
97 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
76 |
$6K |
| 87428 |
|
97 |
92 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
114 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
88 |
87 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
134 |
$2K |
| 90686 |
|
129 |
116 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
23 |
23 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
36 |
$1K |
| 90670 |
|
69 |
58 |
$1K |
| 90648 |
|
40 |
40 |
$668.40 |
| 87807 |
|
49 |
49 |
$492.94 |
| 83655 |
|
38 |
25 |
$450.68 |
| 85018 |
|
136 |
113 |
$313.40 |
| 90710 |
|
14 |
14 |
$233.94 |
| 90723 |
|
14 |
14 |
$233.94 |
| 90656 |
|
15 |
13 |
$218.06 |
| 90651 |
|
18 |
17 |
$115.20 |
| 90734 |
|
13 |
13 |
$83.20 |