| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
583 |
569 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
488 |
486 |
$48K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
397 |
391 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
928 |
867 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
352 |
351 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
295 |
293 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
599 |
581 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
346 |
$21K |
| 87634 |
|
199 |
189 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
88 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
684 |
672 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
128 |
$3K |
| 90686 |
|
135 |
108 |
$921.33 |
| 90648 |
|
255 |
237 |
$704.00 |
| 90670 |
|
242 |
227 |
$704.00 |
| 96161 |
|
163 |
163 |
$582.16 |
| 92551 |
|
375 |
372 |
$529.90 |
| 99173 |
|
438 |
437 |
$507.13 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$495.44 |
| 90723 |
|
88 |
82 |
$385.00 |
| 90710 |
|
12 |
12 |
$132.00 |
| 90633 |
|
27 |
27 |
$132.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
140 |
$80.82 |
| 90734 |
|
32 |
25 |
$55.00 |
| 96127 |
|
171 |
170 |
$42.26 |
| 96160 |
|
226 |
224 |
$11.49 |
| 85013 |
|
246 |
245 |
$0.00 |
| 85018 |
|
249 |
247 |
$0.00 |
| 83655 |
|
390 |
389 |
$0.00 |
| 80061 |
Lipid panel |
90 |
88 |
$0.00 |