| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,754 |
3,208 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,036 |
876 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
875 |
785 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
470 |
416 |
$34K |
| 92551 |
|
1,049 |
947 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
178 |
$16K |
| 96127 |
|
631 |
536 |
$9K |
| 90670 |
|
546 |
491 |
$5K |
| 99173 |
|
551 |
498 |
$4K |
| 90723 |
|
494 |
421 |
$4K |
| 90686 |
|
393 |
360 |
$3K |
| 90648 |
|
454 |
390 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
97 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
45 |
$1K |
| 90651 |
|
133 |
84 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
50 |
47 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
15 |
15 |
$1K |
| 90680 |
|
107 |
107 |
$777.83 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$774.79 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$643.49 |
| 90734 |
|
51 |
30 |
$602.26 |
| 90715 |
|
29 |
13 |
$430.53 |
| 90685 |
|
47 |
47 |
$300.80 |
| 99174 |
|
37 |
28 |
$277.50 |
| 90633 |
|
38 |
29 |
$243.52 |
| 90619 |
|
12 |
12 |
$201.36 |
| 85018 |
|
82 |
82 |
$190.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
19 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |