| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,030 |
2,648 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
697 |
673 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
545 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
302 |
285 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
234 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
746 |
713 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,327 |
1,274 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
99 |
98 |
$8K |
| 92551 |
|
983 |
948 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
96 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
222 |
218 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
16 |
16 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
131 |
$1K |
| 85027 |
|
53 |
43 |
$906.69 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$838.80 |
| 83655 |
|
50 |
50 |
$714.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
35 |
$526.40 |
| 99173 |
|
152 |
145 |
$235.55 |
| 90474 |
|
27 |
27 |
$218.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$212.42 |
| 94760 |
|
16 |
14 |
$40.16 |
| 81002 |
|
12 |
12 |
$21.40 |
| 90686 |
|
17 |
12 |
$8.43 |