| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,866 |
4,390 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
942 |
854 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,367 |
1,273 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
106 |
99 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
101 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
92 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
166 |
143 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
54 |
$2K |
| 99460 |
|
31 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
36 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
30 |
$901.16 |
| 87634 |
|
13 |
13 |
$594.28 |
| 92551 |
|
83 |
83 |
$492.66 |
| 90670 |
|
40 |
39 |
$253.45 |
| 99177 |
|
12 |
12 |
$106.28 |
| 90680 |
|
12 |
12 |
$10.50 |
| 90698 |
|
40 |
39 |
$10.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,568 |
2,336 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
496 |
456 |
$0.00 |
| 90686 |
|
173 |
170 |
$0.00 |
| 90674 |
|
39 |
38 |
$0.00 |