| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,276 |
2,813 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
375 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
448 |
327 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
335 |
285 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
595 |
500 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
119 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
125 |
94 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
60 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
54 |
49 |
$4K |
| 87428 |
|
60 |
50 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
83 |
$3K |
| 87999 |
|
160 |
150 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
152 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
25 |
$1K |
| 96127 |
|
63 |
49 |
$919.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
37 |
$755.67 |
| 83655 |
|
63 |
32 |
$747.18 |
| 36416 |
|
67 |
35 |
$373.10 |
| 90698 |
|
48 |
39 |
$307.20 |
| 94760 |
|
52 |
47 |
$228.80 |
| 90670 |
|
28 |
24 |
$179.20 |
| 87807 |
|
14 |
13 |
$140.84 |
| 85018 |
|
59 |
30 |
$134.56 |
| 90633 |
|
18 |
13 |
$115.20 |
| 99000 |
|
18 |
14 |
$31.30 |
| 3074F |
|
1,260 |
998 |
$0.00 |
| 3078F |
|
1,184 |
933 |
$0.00 |
| 1160F |
|
2,385 |
1,828 |
$0.00 |
| 1159F |
|
2,384 |
1,827 |
$0.00 |
| 99072 |
|
259 |
229 |
$0.00 |
| 3210F |
|
84 |
67 |
$0.00 |
| 1003F |
|
103 |
83 |
$0.00 |