| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,988 |
5,764 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,279 |
1,265 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,262 |
1,219 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
767 |
750 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
773 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
379 |
370 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,427 |
1,325 |
$25K |
| 99460 |
|
276 |
257 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
126 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,987 |
2,902 |
$5K |
| 99462 |
|
339 |
244 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
734 |
650 |
$589.22 |
| 99188 |
|
587 |
579 |
$364.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
845 |
802 |
$228.59 |
| 82247 |
|
126 |
117 |
$105.56 |
| 83655 |
|
435 |
427 |
$99.98 |
| 87807 |
|
168 |
161 |
$68.62 |
| 99050 |
|
383 |
352 |
$61.77 |
| 85018 |
|
509 |
499 |
$39.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
37 |
$32.42 |
| 90473 |
|
698 |
684 |
$22.00 |
| 81003 |
|
141 |
131 |
$4.13 |
| 96127 |
|
93 |
92 |
$0.00 |
| 36416 |
|
536 |
525 |
$0.00 |
| 90744 |
|
520 |
505 |
$0.00 |
| 90680 |
|
746 |
731 |
$0.00 |
| 90651 |
|
365 |
358 |
$0.00 |
| 90686 |
|
561 |
557 |
$0.00 |
| 90716 |
|
398 |
390 |
$0.00 |
| 90698 |
|
254 |
245 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
31 |
$0.00 |
| 97802 |
|
115 |
104 |
$0.00 |
| 99174 |
|
129 |
124 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
28 |
27 |
$0.00 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
30 |
29 |
$0.00 |
| 99000 |
|
50 |
39 |
$0.00 |
| 90633 |
|
462 |
451 |
$0.00 |
| 90670 |
|
1,047 |
1,026 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 90648 |
|
685 |
676 |
$0.00 |
| 90461 |
|
1,543 |
1,506 |
$0.00 |
| 90707 |
|
401 |
393 |
$0.00 |
| 90713 |
|
672 |
661 |
$0.00 |
| 90734 |
|
111 |
107 |
$0.00 |
| 90700 |
|
888 |
876 |
$0.00 |
| 69210 |
|
13 |
12 |
$0.00 |