| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,445 |
8,965 |
$680K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,361 |
3,208 |
$320K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,690 |
2,690 |
$248K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,833 |
2,703 |
$246K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,714 |
5,687 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
691 |
691 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
635 |
626 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
683 |
672 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
101 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
195 |
194 |
$9K |
| 99460 |
|
66 |
66 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
153 |
153 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
374 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
52 |
$3K |
| 96127 |
|
816 |
814 |
$3K |
| 99381 |
|
27 |
27 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
30 |
$2K |
| 83655 |
|
189 |
189 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$780.25 |
| 87420 |
|
39 |
39 |
$482.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$346.38 |
| 85018 |
|
99 |
99 |
$211.22 |
| 90661 |
|
43 |
43 |
$4.00 |
| 90633 |
|
123 |
123 |
$3.00 |
| 90723 |
|
441 |
441 |
$0.00 |
| 90647 |
|
393 |
393 |
$0.00 |
| 90686 |
|
493 |
490 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90670 |
|
659 |
659 |
$0.00 |
| 90671 |
|
197 |
197 |
$0.00 |
| 96160 |
|
224 |
223 |
$0.00 |
| 90681 |
|
93 |
93 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |