| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
536 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
238 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
364 |
316 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
113 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
94 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
51 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
422 |
355 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$899.02 |
| 99460 |
|
16 |
14 |
$857.91 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
12 |
$535.74 |
| 96112 |
|
15 |
12 |
$250.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$148.74 |
| 96161 |
|
52 |
41 |
$101.57 |
| 99173 |
|
93 |
82 |
$57.56 |
| 96127 |
|
15 |
15 |
$54.88 |
| 97802 |
|
18 |
12 |
$50.00 |
| 96160 |
|
13 |
13 |
$38.95 |
| 92551 |
|
28 |
28 |
$24.06 |
| 90686 |
|
77 |
57 |
$22.15 |
| 90723 |
|
126 |
110 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
46 |
42 |
$0.00 |
| 90670 |
|
170 |
148 |
$0.00 |
| 90681 |
|
43 |
37 |
$0.00 |
| 90648 |
|
121 |
108 |
$0.00 |