| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,282 |
15,260 |
$920K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,658 |
7,378 |
$499K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,663 |
1,468 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,485 |
1,359 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,288 |
1,178 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
923 |
818 |
$70K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,354 |
1,131 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,216 |
1,865 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,297 |
3,976 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,041 |
972 |
$12K |
| 85018 |
|
4,170 |
3,884 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,313 |
1,215 |
$7K |
| 90686 |
|
1,196 |
1,115 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
38 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$1K |
| 81002 |
|
1,477 |
1,397 |
$1K |
| 0071A |
|
79 |
43 |
$560.00 |
| 90648 |
|
185 |
175 |
$430.00 |
| 90670 |
|
465 |
441 |
$410.00 |
| 90661 |
|
29 |
29 |
$395.35 |
| 87807 |
|
94 |
92 |
$351.83 |
| 90685 |
|
92 |
88 |
$310.00 |
| 0001A |
|
22 |
22 |
$240.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$237.14 |
| 90633 |
|
76 |
67 |
$236.23 |
| 0072A |
|
26 |
14 |
$200.00 |
| 90651 |
|
280 |
250 |
$150.00 |
| 90674 |
|
30 |
16 |
$130.00 |
| 94664 |
|
12 |
12 |
$66.82 |
| 90677 |
|
14 |
12 |
$40.00 |
| 90621 |
|
14 |
13 |
$31.62 |
| 90734 |
|
202 |
175 |
$30.00 |
| 90620 |
|
140 |
127 |
$30.00 |
| 90710 |
|
73 |
69 |
$10.00 |
| 90696 |
|
13 |
12 |
$10.00 |
| 91300 |
|
19 |
19 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,438 |
1,168 |
$0.00 |
| 91307 |
|
111 |
52 |
$0.00 |
| 90680 |
|
143 |
132 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |