| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,182 |
5,098 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,470 |
2,844 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,223 |
2,608 |
$235K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,084 |
1,942 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,141 |
1,789 |
$143K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,520 |
4,027 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
773 |
713 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,853 |
1,633 |
$28K |
| 83655 |
|
1,647 |
1,319 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
284 |
246 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
746 |
478 |
$14K |
| 99000 |
|
585 |
443 |
$13K |
| 96127 |
|
1,177 |
1,082 |
$9K |
| 99383 |
|
70 |
64 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
63 |
61 |
$6K |
| 85018 |
|
2,523 |
2,156 |
$6K |
| 99382 |
|
59 |
38 |
$5K |
| 87420 |
|
233 |
185 |
$3K |
| 99381 |
|
34 |
27 |
$3K |
| 87430 |
|
173 |
105 |
$3K |
| 99349 |
|
34 |
28 |
$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 |
26 |
21 |
$2K |
| 99348 |
|
25 |
21 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$522.60 |
| 81002 |
|
75 |
74 |
$195.00 |
| 94760 |
|
101 |
84 |
$169.70 |
| 99177 |
|
16 |
15 |
$44.00 |
| 96161 |
|
323 |
307 |
$0.00 |
| 99072 |
|
68 |
65 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |