| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,541 |
2,343 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
692 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,097 |
2,084 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
403 |
$35K |
| 92587 |
|
914 |
914 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
167 |
$15K |
| 96160 |
|
2,326 |
1,658 |
$5K |
| 99177 |
|
1,249 |
1,247 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
246 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 96127 |
|
859 |
856 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
65 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$3K |
| 0071A |
|
38 |
38 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
233 |
$912.07 |
| 0072A |
|
21 |
21 |
$835.73 |
| 36410 |
|
28 |
27 |
$581.62 |
| 92551 |
|
157 |
157 |
$427.94 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
80 |
78 |
$42.24 |
| 81003 |
|
14 |
14 |
$28.00 |
| 99173 |
|
79 |
79 |
$3.26 |
| 99072 |
|
131 |
127 |
$0.00 |
| 99000 |
|
471 |
457 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |