| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,002 |
1,795 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,943 |
1,765 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,308 |
1,217 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,103 |
2,303 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
826 |
806 |
$78K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
766 |
750 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,620 |
814 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
116 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
777 |
754 |
$9K |
| 87807 |
|
609 |
589 |
$6K |
| 99188 |
|
280 |
265 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
45 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
14 |
14 |
$1K |
| 85018 |
|
554 |
434 |
$1K |
| 83655 |
|
62 |
59 |
$756.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$49.65 |
| 81003 |
|
26 |
24 |
$40.69 |
| 94760 |
|
18 |
17 |
$22.09 |
| 90633 |
|
144 |
136 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90670 |
|
544 |
526 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 90707 |
|
16 |
13 |
$0.00 |
| 90723 |
|
425 |
417 |
$0.00 |
| 90647 |
|
416 |
408 |
$0.00 |
| 90680 |
|
483 |
468 |
$0.00 |
| 90686 |
|
127 |
124 |
$0.00 |
| 90677 |
|
316 |
309 |
$0.00 |
| 90716 |
|
62 |
56 |
$0.00 |
| 90688 |
|
108 |
102 |
$0.00 |
| 90656 |
|
30 |
29 |
$0.00 |