| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,173 |
21,253 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,265 |
5,493 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,047 |
1,855 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,609 |
1,463 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,286 |
1,122 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
984 |
906 |
$73K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,440 |
1,311 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,925 |
2,374 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,944 |
4,621 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,170 |
1,078 |
$14K |
| 85018 |
|
4,778 |
4,446 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,142 |
1,054 |
$6K |
| 90686 |
|
899 |
859 |
$2K |
| 90633 |
|
320 |
287 |
$2K |
| 90648 |
|
384 |
345 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 81002 |
|
1,605 |
1,477 |
$1K |
| 90710 |
|
269 |
243 |
$595.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$568.61 |
| 87807 |
|
112 |
99 |
$561.58 |
| 0071A |
|
37 |
24 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$378.95 |
| 90651 |
|
272 |
255 |
$347.80 |
| 90670 |
|
834 |
757 |
$330.00 |
| 0072A |
|
14 |
12 |
$240.00 |
| 0002A |
|
13 |
13 |
$200.00 |
| 90685 |
|
76 |
75 |
$110.00 |
| 90677 |
|
13 |
12 |
$70.00 |
| 92552 |
|
28 |
27 |
$50.68 |
| 90734 |
|
192 |
181 |
$50.00 |
| 90715 |
|
44 |
40 |
$40.00 |
| 90674 |
|
22 |
18 |
$20.00 |
| 90620 |
|
67 |
65 |
$20.00 |
| 90680 |
|
296 |
269 |
$20.00 |
| 90723 |
|
150 |
131 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,013 |
811 |
$0.00 |
| 91307 |
|
76 |
49 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |