| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,431 |
5,310 |
$212K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,389 |
5,147 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,792 |
2,575 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
836 |
805 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
708 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,265 |
1,936 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
499 |
496 |
$35K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,708 |
1,590 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,869 |
1,750 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
127 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,499 |
1,132 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,119 |
1,870 |
$6K |
| 86308 |
|
1,613 |
1,521 |
$3K |
| 90461 |
|
93 |
87 |
$559.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$210.72 |
| 90658 |
|
813 |
812 |
$80.35 |
| 81000 |
|
120 |
102 |
$47.32 |
| 90657 |
|
56 |
56 |
$0.00 |
| 90698 |
|
64 |
64 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
151 |
151 |
$0.00 |