| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,866 |
2,587 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
138 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
405 |
394 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
275 |
260 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
271 |
265 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
96 |
93 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
357 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
242 |
232 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$2K |
| 87400 |
|
175 |
168 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$152.49 |
| 90686 |
|
82 |
82 |
$99.82 |
| 3008F |
|
453 |
453 |
$0.00 |
| 4037F |
|
29 |
29 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
41 |
38 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
121 |
120 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
41 |
38 |
$0.00 |
| 96160 |
|
30 |
30 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |