| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,499 |
8,363 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,385 |
2,268 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,764 |
1,758 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,193 |
2,077 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
946 |
944 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,292 |
3,254 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
643 |
620 |
$54K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,420 |
1,307 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,852 |
1,360 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,527 |
2,353 |
$26K |
| 90461 |
|
2,138 |
1,765 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,414 |
1,015 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
213 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
667 |
652 |
$3K |
| 97169 |
|
100 |
100 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 90734 |
|
68 |
68 |
$745.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$552.81 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$352.82 |
| 96160 |
|
229 |
229 |
$316.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$158.26 |
| 90656 |
|
489 |
488 |
$109.23 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90697 |
|
42 |
42 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 90696 |
|
41 |
41 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90670 |
|
815 |
809 |
$0.00 |
| 90648 |
|
279 |
278 |
$0.00 |
| 90655 |
|
108 |
108 |
$0.00 |
| 90633 |
|
146 |
146 |
$0.00 |
| 90681 |
|
292 |
292 |
$0.00 |
| 90649 |
|
114 |
114 |
$0.00 |
| 90710 |
|
183 |
183 |
$0.00 |
| 99072 |
|
78 |
78 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |