| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,830 |
3,200 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,564 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
903 |
775 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
773 |
655 |
$58K |
| 99173 |
|
2,452 |
2,207 |
$19K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
338 |
308 |
$17K |
| 96127 |
|
1,057 |
895 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
266 |
249 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
100 |
$11K |
| 90686 |
|
863 |
763 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
664 |
594 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
106 |
$3K |
| 90651 |
|
138 |
112 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
65 |
$2K |
| 90621 |
|
63 |
58 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
97 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$1K |
| 90656 |
|
57 |
54 |
$952.47 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$903.76 |
| 90734 |
|
24 |
24 |
$788.35 |
| 90619 |
|
45 |
36 |
$739.50 |
| 90685 |
|
33 |
29 |
$211.20 |
| 90715 |
|
12 |
12 |
$200.52 |
| 90698 |
|
12 |
12 |
$76.80 |
| 1036F |
|
838 |
707 |
$0.00 |
| 3352F |
|
751 |
632 |
$0.00 |
| 91307 |
|
34 |
17 |
$0.00 |
| 1003F |
|
416 |
376 |
$0.00 |
| 4274F |
|
34 |
32 |
$0.00 |