| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,256 |
4,561 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
432 |
385 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,547 |
1,485 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
259 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
716 |
648 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
96 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
167 |
163 |
$8K |
| 87428 |
|
236 |
225 |
$8K |
| 92587 |
|
685 |
662 |
$5K |
| 99173 |
|
919 |
893 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
424 |
394 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
772 |
738 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
203 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
127 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$972.85 |
| 0001A |
|
18 |
18 |
$510.00 |
| 99072 |
|
122 |
116 |
$344.65 |
| 91300 |
|
39 |
30 |
$30.20 |
| 96160 |
|
252 |
230 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
55 |
$0.00 |
| 90656 |
|
70 |
70 |
$0.00 |