| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,989 |
5,255 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,298 |
1,935 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,249 |
1,192 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
912 |
844 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,385 |
2,291 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
726 |
682 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
549 |
518 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,567 |
741 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,750 |
2,513 |
$15K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
710 |
656 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
774 |
733 |
$8K |
| 99000 |
|
882 |
809 |
$7K |
| 90461 |
|
1,160 |
988 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
194 |
$3K |
| 87807 |
|
149 |
138 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 94010 |
|
14 |
13 |
$270.51 |
| 90723 |
|
171 |
163 |
$0.40 |
| 90671 |
|
115 |
112 |
$0.09 |
| 90677 |
|
115 |
104 |
$0.04 |
| 90633 |
|
162 |
156 |
$0.00 |
| 90670 |
|
490 |
468 |
$0.00 |
| 90648 |
|
525 |
499 |
$0.00 |
| 90710 |
|
99 |
99 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |
| 90715 |
|
21 |
12 |
$0.00 |
| 90734 |
|
49 |
38 |
$0.00 |
| 96161 |
|
181 |
168 |
$0.00 |
| 90680 |
|
268 |
259 |
$0.00 |
| 90686 |
|
359 |
353 |
$0.00 |
| 99402 |
|
55 |
38 |
$0.00 |