| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,626 |
3,952 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,392 |
3,076 |
$116K |
| 87428 |
|
1,130 |
1,065 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
724 |
720 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
738 |
704 |
$54K |
| S8301 |
Infection control supplies, not otherwise specified |
3,043 |
2,489 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,984 |
2,247 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
211 |
$17K |
| 92552 |
|
512 |
506 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
245 |
216 |
$12K |
| 99429 |
|
327 |
323 |
$10K |
| 99215 |
Prolong outpt/office vis |
126 |
123 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,335 |
1,233 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
490 |
242 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
159 |
156 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
478 |
$6K |
| 90461 |
|
887 |
804 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
215 |
205 |
$3K |
| 94760 |
|
1,385 |
1,155 |
$2K |
| 69210 |
|
41 |
36 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$879.95 |
| 0071A |
|
17 |
17 |
$680.00 |
| 0073A |
|
13 |
12 |
$480.00 |
| 99000 |
|
31 |
30 |
$313.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$165.00 |
| 96160 |
|
220 |
217 |
$22.49 |
| 96161 |
|
258 |
251 |
$2.53 |
| 90686 |
|
801 |
795 |
$0.11 |
| 90698 |
|
180 |
179 |
$0.00 |
| 90680 |
|
170 |
168 |
$0.00 |
| 90677 |
|
99 |
99 |
$0.00 |
| 90656 |
|
140 |
140 |
$0.00 |
| 90744 |
|
74 |
73 |
$0.00 |
| 99177 |
|
539 |
533 |
$0.00 |
| 90670 |
|
339 |
336 |
$0.00 |
| 90685 |
|
59 |
59 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90633 |
|
62 |
62 |
$0.00 |