| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,686 |
3,827 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
611 |
524 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
351 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
432 |
379 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
374 |
$15K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
159 |
140 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
629 |
493 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
999 |
837 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
160 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
138 |
$4K |
| 90670 |
|
218 |
209 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
158 |
140 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
57 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 90633 |
|
110 |
99 |
$1K |
| 90680 |
|
98 |
93 |
$1K |
| 87280 |
|
110 |
98 |
$1K |
| 90697 |
|
62 |
58 |
$865.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$610.10 |
| 90710 |
|
38 |
38 |
$473.04 |
| 90698 |
|
12 |
12 |
$185.40 |
| 87400 |
|
18 |
15 |
$84.10 |
| 81003 |
|
14 |
13 |
$35.20 |
| 81005 |
|
21 |
12 |
$34.35 |
| 90671 |
|
28 |
24 |
$13.14 |
| 1036F |
|
124 |
116 |
$0.00 |
| 3074F |
|
81 |
78 |
$0.00 |
| 1000F |
|
31 |
27 |
$0.00 |
| 3078F |
|
148 |
135 |
$0.00 |
| 3288F |
|
147 |
136 |
$0.00 |
| 1159F |
|
157 |
144 |
$0.00 |
| 1160F |
|
157 |
144 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
33 |
$0.00 |