| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,126 |
3,546 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,259 |
1,160 |
$143K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,192 |
3,166 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,072 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,029 |
1,025 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
550 |
550 |
$51K |
| 92552 |
|
1,038 |
1,038 |
$34K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
654 |
616 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,260 |
2,255 |
$23K |
| 99051 |
|
1,679 |
1,561 |
$20K |
| 92587 |
|
930 |
922 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
108 |
$11K |
| 99188 |
|
403 |
403 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
528 |
505 |
$3K |
| 90677 |
|
14 |
14 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
245 |
$3K |
| 99173 |
|
1,059 |
1,058 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
137 |
$2K |
| 99050 |
|
38 |
38 |
$790.40 |
| 81000 |
|
454 |
449 |
$749.61 |
| 81002 |
|
550 |
547 |
$743.92 |
| 96160 |
|
323 |
323 |
$720.83 |
| 87081 |
|
251 |
237 |
$651.14 |
| 87077 |
|
203 |
198 |
$639.45 |
| 96127 |
|
203 |
203 |
$518.29 |
| 92551 |
|
35 |
35 |
$406.12 |
| 86580 |
|
87 |
87 |
$318.42 |
| 87184 |
|
14 |
14 |
$41.86 |
| 99174 |
|
509 |
509 |
$0.00 |
| 3008F |
|
152 |
152 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
296 |
271 |
$0.00 |
| 99072 |
|
84 |
83 |
$0.00 |