| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,597 |
5,648 |
$819K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
882 |
866 |
$168K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
604 |
582 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
362 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,069 |
1,945 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
478 |
460 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
911 |
878 |
$34K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
108 |
103 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
101 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
100 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$14K |
| 80053 |
Comprehensive metabolic panel |
269 |
261 |
$13K |
| 87807 |
|
272 |
258 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
374 |
355 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
63 |
$11K |
| 86308 |
|
189 |
189 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
402 |
396 |
$6K |
| 81003 |
|
317 |
303 |
$5K |
| 83655 |
|
60 |
54 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
32 |
$3K |
| 84439 |
|
26 |
26 |
$3K |
| 99383 |
|
12 |
12 |
$2K |
| 96127 |
|
73 |
67 |
$2K |
| 81025 |
|
81 |
78 |
$2K |
| 85018 |
|
130 |
123 |
$1K |
| 90686 |
|
37 |
37 |
$194.78 |