| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,722 |
13,602 |
$873K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,730 |
6,330 |
$574K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,273 |
2,998 |
$305K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,567 |
6,712 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,325 |
2,276 |
$236K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
724 |
703 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
822 |
804 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
541 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,399 |
1,337 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,146 |
556 |
$16K |
| 87428 |
|
113 |
110 |
$6K |
| 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 |
41 |
40 |
$4K |
| 90461 |
|
214 |
151 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
19 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$2K |
| 90677 |
|
306 |
288 |
$810.34 |
| 92226 |
|
35 |
12 |
$453.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$394.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$112.71 |
| 90686 |
|
711 |
679 |
$36.40 |
| 90688 |
|
249 |
240 |
$0.00 |
| 90680 |
|
615 |
591 |
$0.00 |
| 90723 |
|
878 |
839 |
$0.00 |
| 90647 |
|
823 |
779 |
$0.00 |
| 90670 |
|
1,152 |
1,108 |
$0.00 |
| 90681 |
|
16 |
16 |
$0.00 |
| 90633 |
|
156 |
152 |
$0.00 |