| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,583 |
23,317 |
$1.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,065 |
5,043 |
$324K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,909 |
2,689 |
$222K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,360 |
2,172 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,065 |
1,841 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,171 |
1,058 |
$87K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,614 |
1,437 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,820 |
3,201 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,400 |
6,033 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,620 |
1,531 |
$22K |
| 85018 |
|
5,137 |
4,830 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,245 |
2,068 |
$14K |
| 90648 |
|
927 |
858 |
$6K |
| 94664 |
|
669 |
507 |
$5K |
| 90686 |
|
1,726 |
1,638 |
$4K |
| 90633 |
|
667 |
622 |
$3K |
| 81002 |
|
2,051 |
1,932 |
$2K |
| 99381 |
|
27 |
24 |
$2K |
| 90685 |
|
629 |
600 |
$1K |
| 0071A |
|
54 |
33 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
22 |
$896.60 |
| 87807 |
|
168 |
151 |
$829.53 |
| 90670 |
|
1,373 |
1,272 |
$820.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$781.38 |
| 0072A |
|
40 |
22 |
$720.00 |
| 90651 |
|
507 |
455 |
$640.00 |
| 92552 |
|
427 |
409 |
$496.47 |
| 90677 |
|
46 |
44 |
$324.54 |
| 90715 |
|
85 |
82 |
$190.00 |
| 90700 |
|
26 |
25 |
$160.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
39 |
$157.61 |
| 99173 |
|
566 |
463 |
$127.54 |
| 90681 |
|
30 |
26 |
$75.00 |
| 90734 |
|
291 |
253 |
$50.00 |
| 90723 |
|
463 |
417 |
$40.00 |
| 90710 |
|
488 |
454 |
$22.10 |
| 90680 |
|
911 |
831 |
$10.00 |
| 90698 |
|
40 |
39 |
$10.00 |
| 90620 |
|
76 |
72 |
$5.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,280 |
1,011 |
$0.00 |
| 91307 |
|
158 |
62 |
$0.00 |
| 90696 |
|
61 |
50 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |