| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,257 |
18,834 |
$1.23M |
| 99199 |
Unlisted special service, procedure or report |
94,526 |
53,743 |
$551K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,602 |
1,315 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,518 |
1,532 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,726 |
1,526 |
$32K |
| 87428 |
|
571 |
544 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
322 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
208 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
1,086 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
337 |
314 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
103 |
$11K |
| D0145 |
Oral evaluation for a patient under three years of age |
145 |
141 |
$4K |
| 99051 |
|
184 |
180 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
38 |
$4K |
| 97802 |
|
21,669 |
19,003 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
328 |
294 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
25 |
$2K |
| 87807 |
|
153 |
142 |
$2K |
| D1206 |
Topical application of fluoride varnish |
92 |
91 |
$1K |
| 90686 |
|
249 |
230 |
$884.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
77 |
$653.90 |
| 99173 |
|
633 |
537 |
$97.89 |
| 3078F |
|
3,776 |
3,251 |
$0.00 |
| 1160F |
|
432 |
345 |
$0.00 |
| 90670 |
|
42 |
37 |
$0.00 |
| 3074F |
|
5,952 |
5,092 |
$0.00 |
| 3079F |
|
137 |
120 |
$0.00 |
| 99000 |
|
23 |
14 |
$0.00 |
| 92551 |
|
29 |
24 |
$0.00 |