| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,744 |
6,221 |
$491K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,530 |
7,803 |
$408K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,813 |
5,574 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
260 |
255 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
504 |
490 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
219 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
699 |
660 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
130 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
85 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
216 |
$6K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 0072A |
|
35 |
35 |
$3K |
| 0071A |
|
33 |
33 |
$3K |
| 94760 |
|
1,779 |
1,537 |
$1K |
| 96160 |
|
703 |
682 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$778.62 |
| 96127 |
|
66 |
63 |
$370.92 |
| 92558 |
|
41 |
40 |
$275.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$128.85 |
| 90686 |
|
775 |
652 |
$91.02 |
| 99173 |
|
54 |
52 |
$56.84 |
| 99000 |
|
68 |
60 |
$20.11 |
| 90685 |
|
47 |
45 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
88 |
82 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
16 |
16 |
$0.00 |