| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,120 |
2,784 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
469 |
454 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,730 |
1,208 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
318 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
274 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
450 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
279 |
270 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
156 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
841 |
408 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
622 |
608 |
$8K |
| 99429 |
|
287 |
280 |
$6K |
| 90461 |
|
1,467 |
646 |
$6K |
| 92551 |
|
392 |
391 |
$4K |
| 99384 |
|
25 |
25 |
$2K |
| 99383 |
|
26 |
26 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
322 |
291 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
21 |
$910.36 |
| 90619 |
|
17 |
17 |
$758.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$719.04 |
| 87807 |
|
25 |
24 |
$242.00 |
| 83655 |
|
13 |
13 |
$136.73 |
| 85018 |
|
43 |
43 |
$76.50 |
| 97802 |
|
918 |
916 |
$6.12 |
| 90688 |
|
265 |
214 |
$0.02 |
| 90707 |
|
85 |
85 |
$0.00 |
| 90670 |
|
311 |
290 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| 90633 |
|
53 |
53 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90716 |
|
85 |
85 |
$0.00 |
| 90680 |
|
144 |
133 |
$0.00 |
| 90698 |
|
262 |
248 |
$0.00 |
| 90744 |
|
69 |
67 |
$0.00 |
| 90651 |
|
81 |
77 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |