| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,537 |
5,984 |
$570K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,478 |
2,283 |
$281K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
967 |
949 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,153 |
1,020 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
391 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
444 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,005 |
3,416 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
161 |
$19K |
| 90461 |
|
1,064 |
931 |
$14K |
| 90686 |
|
615 |
603 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
472 |
447 |
$633.86 |
| A4259 |
Lancets, per box of 100 |
88 |
83 |
$456.29 |
| 90672 |
|
31 |
27 |
$360.15 |
| 90670 |
|
494 |
448 |
$345.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$188.21 |
| 99072 |
|
86 |
76 |
$149.54 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
81 |
75 |
$93.37 |
| 90633 |
|
106 |
99 |
$72.03 |
| 90651 |
|
38 |
38 |
$24.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
45 |
$19.86 |
| 90656 |
|
15 |
15 |
$18.13 |
| 90707 |
|
39 |
37 |
$0.00 |
| 99173 |
|
26 |
25 |
$0.00 |
| 96127 |
|
1,224 |
1,155 |
$0.00 |
| 90744 |
|
45 |
42 |
$0.00 |
| 90680 |
|
200 |
188 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
380 |
341 |
$0.00 |
| 90698 |
|
217 |
205 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
332 |
323 |
$0.00 |
| 36416 |
|
88 |
83 |
$0.00 |
| 3008F |
|
64 |
52 |
$0.00 |
| 90716 |
|
38 |
37 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |