| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,851 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
532 |
519 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
410 |
373 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
523 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
99 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
231 |
212 |
$2K |
| 0072A |
|
33 |
33 |
$1K |
| 0001A |
|
20 |
20 |
$800.00 |
| 0071A |
|
21 |
19 |
$760.00 |
| 0002A |
|
18 |
15 |
$560.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$354.90 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$336.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$200.54 |
| 90686 |
|
146 |
141 |
$60.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
50 |
41 |
$0.43 |
| 90670 |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$0.00 |
| 90671 |
|
16 |
16 |
$0.00 |
| 90698 |
|
17 |
17 |
$0.00 |