| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,520 |
8,587 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,006 |
5,422 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
726 |
721 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,381 |
2,158 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
565 |
564 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
561 |
557 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,712 |
1,279 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
379 |
$9K |
| 99215 |
Prolong outpt/office vis |
93 |
89 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
989 |
948 |
$3K |
| 99050 |
|
30 |
27 |
$3K |
| 90461 |
|
793 |
680 |
$570.87 |
| 99051 |
|
29 |
28 |
$252.43 |
| 87807 |
|
13 |
13 |
$24.20 |
| 90680 |
|
55 |
55 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
113 |
102 |
$0.00 |
| 96127 |
|
46 |
43 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90685 |
|
281 |
279 |
$0.00 |
| 90670 |
|
326 |
325 |
$0.00 |
| 90710 |
|
55 |
55 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90648 |
|
55 |
55 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |