| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
1,017 |
$56K |
| 99051 |
|
399 |
393 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
76 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
115 |
$6K |
| 87428 |
|
164 |
163 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
188 |
$2K |
| 99173 |
|
311 |
309 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 92551 |
|
304 |
301 |
$969.50 |
| 99072 |
|
89 |
86 |
$770.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$403.50 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
28 |
$396.52 |
| 90688 |
|
12 |
12 |
$127.05 |
| 96160 |
|
28 |
27 |
$5.86 |