| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,946 |
5,725 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,242 |
1,060 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
510 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
536 |
476 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,537 |
3,705 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
558 |
494 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
194 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
166 |
$10K |
| 92551 |
|
1,928 |
1,762 |
$9K |
| 90461 |
|
870 |
627 |
$5K |
| 99173 |
|
1,203 |
1,076 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
31 |
28 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
121 |
113 |
$3K |
| 96127 |
|
430 |
375 |
$2K |
| 0072A |
|
24 |
19 |
$760.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
69 |
$725.17 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
81 |
$660.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
81 |
$595.40 |
| 0071A |
|
21 |
15 |
$560.02 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
12 |
$522.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$398.58 |
| 90686 |
|
1,478 |
1,323 |
$396.93 |
| 99000 |
|
542 |
441 |
$19.14 |
| 90656 |
|
78 |
74 |
$14.54 |
| 91307 |
|
47 |
36 |
$0.01 |
| 90657 |
|
31 |
25 |
$0.00 |
| 90651 |
|
35 |
31 |
$0.00 |
| 90658 |
|
133 |
115 |
$0.00 |
| 90670 |
|
85 |
70 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |