| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,089 |
996 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
256 |
$35K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
165 |
165 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 94760 |
|
820 |
741 |
$2K |
| 92552 |
|
63 |
60 |
$2K |
| 92551 |
|
98 |
98 |
$943.31 |
| 90686 |
|
28 |
28 |
$651.84 |
| 99177 |
|
86 |
83 |
$433.44 |
| 96127 |
|
44 |
44 |
$367.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$340.07 |
| 99173 |
|
134 |
134 |
$325.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$263.20 |
| 99051 |
|
20 |
17 |
$200.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$120.00 |