| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,459 |
2,970 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,527 |
1,425 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
73 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
227 |
224 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90756 |
|
57 |
57 |
$495.26 |
| 0012A |
|
12 |
12 |
$484.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24 |
24 |
$235.91 |
| 87430 |
|
33 |
26 |
$221.76 |
| 80061 |
Lipid panel |
13 |
13 |
$184.80 |
| 87070 |
|
15 |
12 |
$113.85 |
| 99490 |
Ccm add 20min |
31 |
27 |
$113.36 |
| 99173 |
|
12 |
12 |
$71.10 |
| G9920 |
Screening performed and negative |
442 |
440 |
$0.00 |
| 91301 |
|
46 |
46 |
$0.00 |