| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,404 |
4,052 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,672 |
2,180 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
318 |
292 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
450 |
386 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
190 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
160 |
134 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
86 |
$7K |
| 99385 |
|
56 |
55 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
58 |
39 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
40 |
$3K |
| 99383 |
|
32 |
30 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
35 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
25 |
$1K |
| 90686 |
|
101 |
93 |
$942.90 |
| 90734 |
|
109 |
92 |
$665.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
451 |
213 |
$662.95 |
| 90651 |
|
99 |
84 |
$620.80 |
| 0013A |
|
12 |
12 |
$505.68 |
| 93000 |
|
20 |
14 |
$443.00 |
| 90633 |
|
73 |
62 |
$441.60 |
| 90710 |
|
71 |
62 |
$428.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$357.70 |
| 90715 |
|
37 |
31 |
$224.00 |
| 81002 |
|
63 |
56 |
$156.00 |
| 86580 |
|
25 |
14 |
$88.00 |
| 91300 |
|
57 |
45 |
$50.02 |
| 91301 |
|
18 |
18 |
$0.02 |