| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,675 |
3,166 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,920 |
1,678 |
$90K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,643 |
1,481 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,393 |
1,078 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,029 |
962 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
130 |
$10K |
| 87430 |
|
738 |
659 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
243 |
206 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
78 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
61 |
57 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
106 |
$5K |
| 87634 |
|
76 |
64 |
$4K |
| 99000 |
|
357 |
299 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
177 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
76 |
66 |
$2K |
| 90461 |
|
335 |
283 |
$2K |
| 87807 |
|
143 |
129 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$131.55 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$106.44 |
| 90686 |
|
115 |
112 |
$0.06 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
28 |
$0.00 |
| 90698 |
|
42 |
38 |
$0.00 |
| 99072 |
|
604 |
458 |
$0.00 |
| 90670 |
|
28 |
25 |
$0.00 |