| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,838 |
11,439 |
$436K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,434 |
7,431 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,010 |
1,010 |
$69K |
| 90837 |
Psychotherapy, 53 minutes with patient |
666 |
468 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
938 |
908 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
588 |
587 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
965 |
956 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
281 |
281 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
276 |
274 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,164 |
1,160 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
160 |
$10K |
| 96127 |
|
2,071 |
2,069 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
131 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
253 |
127 |
$4K |
| 0072A |
|
81 |
81 |
$3K |
| 90656 |
|
260 |
260 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
30 |
$1K |
| 0002A |
|
26 |
26 |
$974.09 |
| 0001A |
|
25 |
25 |
$944.23 |
| 0071A |
|
25 |
25 |
$939.16 |
| 90686 |
|
2,452 |
2,452 |
$734.33 |
| 0003A |
|
12 |
12 |
$437.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$374.26 |
| 90473 |
|
64 |
64 |
$357.00 |
| 80061 |
Lipid panel |
40 |
40 |
$355.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
50 |
$328.49 |
| 90672 |
|
208 |
208 |
$24.10 |
| 85018 |
|
12 |
12 |
$10.52 |
| 99072 |
|
5,842 |
5,702 |
$3.64 |
| 99051 |
|
87 |
86 |
$0.39 |
| 91300 |
|
81 |
79 |
$0.09 |
| 91307 |
|
238 |
228 |
$0.08 |
| 99358 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.02 |
| 90671 |
|
12 |
12 |
$0.00 |
| 99499 |
|
65 |
65 |
$0.00 |
| 99080 |
|
51 |
50 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 36416 |
|
190 |
189 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |