| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,729 |
2,321 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,083 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
483 |
417 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
152 |
$17K |
| 99173 |
|
1,351 |
1,151 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
169 |
157 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
30 |
$5K |
| 96127 |
|
246 |
187 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
97 |
$3K |
| 90686 |
|
302 |
263 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
186 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
46 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
155 |
$2K |
| 90656 |
|
76 |
74 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$353.76 |
| 90619 |
|
12 |
12 |
$200.52 |
| 1036F |
|
302 |
226 |
$0.00 |
| 3352F |
|
149 |
114 |
$0.00 |
| 91307 |
|
26 |
12 |
$0.00 |
| 1003F |
|
244 |
179 |
$0.00 |