| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,406 |
6,726 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,738 |
4,324 |
$222K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,679 |
2,477 |
$38K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
852 |
811 |
$33K |
| 87428 |
|
726 |
684 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,156 |
828 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
884 |
830 |
$17K |
| 99173 |
|
265 |
239 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
164 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
347 |
282 |
$7K |
| 90461 |
|
186 |
165 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$3K |
| 81003 |
|
1,359 |
1,268 |
$2K |
| 92552 |
|
183 |
168 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
50 |
$1K |
| 94760 |
|
3,976 |
3,693 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$1K |
| 99177 |
|
259 |
251 |
$651.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
43 |
$549.90 |
| 36416 |
|
229 |
219 |
$345.28 |
| 96160 |
|
129 |
128 |
$331.80 |
| 92551 |
|
31 |
29 |
$238.68 |
| 87807 |
|
12 |
12 |
$147.39 |
| 85018 |
|
38 |
38 |
$87.14 |
| 96127 |
|
24 |
24 |
$66.70 |
| 99051 |
|
59 |
56 |
$26.25 |
| 90686 |
|
90 |
90 |
$12.11 |
| 3008F |
|
1,516 |
1,447 |
$1.56 |
| 2014F |
|
144 |
143 |
$0.13 |
| 99072 |
|
61 |
61 |
$0.00 |
| 888888 |
|
69 |
67 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |