| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,667 |
15,057 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,460 |
7,853 |
$762K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,173 |
12,071 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,947 |
3,945 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,591 |
3,556 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,439 |
2,438 |
$180K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
798 |
798 |
$64K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
462 |
456 |
$33K |
| 92551 |
|
4,890 |
4,888 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
893 |
579 |
$13K |
| 81000 |
|
3,727 |
3,659 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,388 |
1,388 |
$12K |
| 87430 |
|
1,177 |
1,161 |
$9K |
| 99173 |
|
2,714 |
2,713 |
$4K |
| 87070 |
|
502 |
498 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
137 |
$2K |
| 83655 |
|
109 |
109 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$700.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$563.82 |
| 0071A |
|
14 |
14 |
$555.47 |
| 0072A |
|
13 |
12 |
$516.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
31 |
$459.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$402.84 |
| 81002 |
|
181 |
177 |
$371.92 |
| 90671 |
|
303 |
303 |
$226.98 |
| 85018 |
|
113 |
113 |
$217.80 |
| 90686 |
|
140 |
140 |
$23.06 |
| 90688 |
|
376 |
375 |
$20.18 |
| 90680 |
|
96 |
96 |
$0.00 |
| 90698 |
|
154 |
154 |
$0.00 |
| 90670 |
|
314 |
314 |
$0.00 |