| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,387 |
5,664 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,713 |
1,560 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,476 |
1,422 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,807 |
3,607 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
974 |
889 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
672 |
661 |
$74K |
| 99188 |
|
714 |
683 |
$60K |
| 97802 |
|
3,796 |
3,540 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
582 |
563 |
$24K |
| 92587 |
|
3,338 |
3,103 |
$17K |
| 90461 |
|
1,942 |
1,689 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
51 |
50 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
58 |
53 |
$3K |
| 83655 |
|
851 |
802 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 85018 |
|
1,901 |
1,818 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
25 |
$950.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
387 |
371 |
$793.92 |
| 99173 |
|
3,330 |
3,075 |
$654.94 |
| 90671 |
|
27 |
26 |
$540.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
384 |
363 |
$348.11 |
| 90651 |
|
212 |
207 |
$300.00 |
| 90716 |
|
237 |
220 |
$284.94 |
| 90707 |
|
238 |
222 |
$164.98 |
| 90670 |
|
630 |
599 |
$146.01 |
| 87420 |
|
106 |
98 |
$97.97 |
| 90620 |
|
55 |
52 |
$90.00 |
| 90633 |
|
207 |
194 |
$72.03 |
| 90686 |
|
515 |
485 |
$43.70 |
| 90744 |
|
103 |
99 |
$24.01 |
| 90734 |
|
120 |
119 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90698 |
|
340 |
326 |
$0.00 |
| 90680 |
|
214 |
210 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
53 |
$0.00 |
| 90696 |
|
45 |
43 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
12 |
$0.00 |