| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,891 |
4,179 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,450 |
2,086 |
$199K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
722 |
645 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
37 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
140 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
378 |
365 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
455 |
409 |
$1K |
| 92551 |
|
158 |
154 |
$954.03 |
| 99173 |
|
127 |
125 |
$896.80 |
| 95923 |
|
18 |
17 |
$423.45 |
| 95921 |
|
18 |
17 |
$405.15 |
| 93040 |
|
32 |
30 |
$225.16 |
| 93922 |
|
17 |
17 |
$111.15 |
| 85018 |
|
321 |
286 |
$108.48 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
285 |
284 |
$107.73 |
| 81003 |
|
240 |
222 |
$83.46 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
319 |
310 |
$70.38 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
17 |
15 |
$51.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$35.33 |
| 99001 |
|
13 |
13 |
$0.00 |
| 90687 |
|
37 |
35 |
$0.00 |
| 99000 |
|
368 |
316 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$0.00 |
| 90686 |
|
22 |
22 |
$0.00 |