| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,588 |
4,162 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,391 |
2,161 |
$188K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,281 |
3,055 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
600 |
529 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
460 |
434 |
$40K |
| 87428 |
|
534 |
503 |
$31K |
| 90461 |
|
887 |
833 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
204 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
773 |
736 |
$14K |
| 92552 |
|
677 |
619 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
170 |
$9K |
| G9153 |
Mapcp demonstration - physician incentive pool |
675 |
619 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
104 |
103 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
247 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
102 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
28 |
$2K |
| 85018 |
|
539 |
510 |
$1K |
| 90686 |
|
879 |
833 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
24 |
$1K |
| 99174 |
|
151 |
145 |
$763.97 |
| 0071A |
|
14 |
14 |
$560.00 |
| 0072A |
|
14 |
14 |
$560.00 |
| 0002A |
|
13 |
13 |
$521.20 |
| 90672 |
|
101 |
96 |
$271.04 |
| 99188 |
|
16 |
16 |
$259.20 |
| 96161 |
|
14 |
13 |
$105.82 |
| 91300 |
|
16 |
13 |
$0.10 |
| 90670 |
|
35 |
27 |
$0.00 |
| 99072 |
|
82 |
67 |
$0.00 |
| 90744 |
|
23 |
19 |
$0.00 |