| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,139 |
3,461 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,326 |
3,518 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,895 |
1,729 |
$66K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,133 |
1,079 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,184 |
1,418 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
471 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
320 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
327 |
307 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,238 |
1,171 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,060 |
842 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,553 |
1,352 |
$7K |
| 86308 |
|
1,070 |
1,021 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 90461 |
|
25 |
25 |
$129.96 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
50 |
50 |
$0.00 |
| 90658 |
|
466 |
453 |
$0.00 |
| 90707 |
|
26 |
25 |
$0.00 |
| 90657 |
|
42 |
39 |
$0.00 |
| 90716 |
|
28 |
26 |
$0.00 |