| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,124 |
1,028 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,174 |
1,110 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
234 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,213 |
1,193 |
$25K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
192 |
190 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
150 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
155 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
215 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
64 |
$7K |
| S9083 |
Global fee urgent care centers |
13 |
12 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
19 |
19 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
38 |
$1K |
| 96127 |
|
169 |
169 |
$913.54 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
19 |
19 |
$425.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$317.92 |
| 92551 |
|
605 |
605 |
$317.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$268.23 |
| 87070 |
|
13 |
13 |
$112.06 |
| 85018 |
|
26 |
26 |
$62.74 |
| 90686 |
|
315 |
315 |
$52.89 |
| 96160 |
|
87 |
87 |
$6.55 |
| 99173 |
|
55 |
55 |
$3.17 |
| 36416 |
|
27 |
27 |
$0.00 |