| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,992 |
1,803 |
$227K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,261 |
2,214 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
814 |
762 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
163 |
$30K |
| 90461 |
|
597 |
583 |
$24K |
| 92583 |
|
334 |
326 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
138 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
130 |
$20K |
| 92555 |
|
598 |
592 |
$18K |
| 84202 |
|
798 |
788 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
710 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
81 |
72 |
$4K |
| 90480 |
|
142 |
55 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
84 |
$3K |
| 92567 |
|
114 |
107 |
$3K |
| 85018 |
|
838 |
824 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 0124A |
|
25 |
25 |
$2K |
| 0071A |
|
44 |
23 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
41 |
$1K |
| 0072A |
|
17 |
17 |
$1K |
| 99173 |
|
214 |
191 |
$746.16 |
| 87400 |
|
21 |
19 |
$593.46 |
| 83655 |
|
24 |
24 |
$398.64 |
| 80061 |
Lipid panel |
25 |
24 |
$321.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$309.98 |
| 99177 |
|
26 |
26 |
$274.30 |
| 87430 |
|
12 |
12 |
$201.72 |
| 82465 |
|
24 |
24 |
$128.88 |
| 82947 |
|
12 |
12 |
$47.16 |
| 91321 |
|
17 |
12 |
$0.00 |