| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,288 |
1,137 |
$117K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
165 |
158 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
104 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$7K |
| 92552 |
|
151 |
150 |
$4K |
| 94760 |
|
998 |
893 |
$3K |
| 92551 |
|
167 |
166 |
$2K |
| 90686 |
|
69 |
69 |
$2K |
| 99401 |
|
30 |
29 |
$1K |
| 99177 |
|
201 |
199 |
$998.60 |
| 96127 |
|
103 |
102 |
$787.51 |
| 99173 |
|
156 |
155 |
$392.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$380.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$369.49 |
| 99051 |
|
31 |
31 |
$310.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$120.00 |
| W7000 |
|
23 |
23 |
$118.22 |