| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,756 |
11,904 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,808 |
4,566 |
$318K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,866 |
7,239 |
$297K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
681 |
649 |
$49K |
| 99215 |
Prolong outpt/office vis |
386 |
384 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
365 |
347 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
295 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
169 |
$13K |
| 96160 |
|
4,288 |
4,191 |
$10K |
| 92552 |
|
232 |
217 |
$5K |
| 0071A |
|
63 |
61 |
$3K |
| 90461 |
|
975 |
805 |
$3K |
| 92551 |
|
263 |
254 |
$2K |
| 0072A |
|
34 |
34 |
$2K |
| 99173 |
|
877 |
807 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
50 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
33 |
$419.78 |
| 96127 |
|
157 |
135 |
$400.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$335.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$312.75 |
| 96161 |
|
68 |
66 |
$177.03 |
| 99051 |
|
30 |
25 |
$49.86 |
| 99050 |
|
79 |
78 |
$36.19 |
| 90670 |
|
198 |
165 |
$0.00 |
| 99072 |
|
2,288 |
1,815 |
$0.00 |
| 90713 |
|
201 |
164 |
$0.00 |
| 90700 |
|
494 |
411 |
$0.00 |
| 90648 |
|
189 |
159 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$0.00 |
| 90686 |
|
1,303 |
1,057 |
$0.00 |
| 90680 |
|
21 |
12 |
$0.00 |
| 99000 |
|
41 |
40 |
$0.00 |
| 90674 |
|
72 |
54 |
$0.00 |