| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,070 |
1,872 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,717 |
1,564 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
115 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
99 |
93 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
588 |
260 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
52 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
125 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
242 |
236 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
148 |
119 |
$1K |
| 90461 |
|
152 |
132 |
$1K |
| 99000 |
|
64 |
60 |
$636.34 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$359.31 |
| 87807 |
|
25 |
25 |
$275.00 |
| 90686 |
|
105 |
105 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90670 |
|
30 |
30 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |