| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,183 |
6,532 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,399 |
2,294 |
$463K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,003 |
1,876 |
$317K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,765 |
1,764 |
$292K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,202 |
4,199 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
516 |
516 |
$84K |
| 99460 |
|
136 |
136 |
$21K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
324 |
317 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
90 |
90 |
$12K |
| 99381 |
|
43 |
43 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
489 |
489 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
65 |
$6K |
| 96161 |
|
1,138 |
1,023 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
236 |
236 |
$4K |
| 54150 |
|
26 |
26 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
105 |
$3K |
| 96380 |
|
27 |
27 |
$528.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$249.90 |
| 96160 |
|
562 |
562 |
$22.60 |
| 90656 |
|
196 |
196 |
$0.20 |
| 90633 |
|
182 |
182 |
$0.04 |
| 90381 |
|
20 |
20 |
$0.02 |
| 90686 |
|
990 |
990 |
$0.01 |
| 90670 |
|
937 |
937 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90680 |
|
689 |
689 |
$0.00 |
| 90677 |
|
312 |
312 |
$0.00 |
| 90698 |
|
1,032 |
1,032 |
$0.00 |
| 90744 |
|
369 |
369 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |