| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,507 |
4,958 |
$260K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
505 |
500 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
329 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
494 |
472 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
271 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
320 |
306 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,213 |
1,182 |
$8K |
| 90670 |
|
363 |
359 |
$6K |
| 99188 |
|
80 |
80 |
$4K |
| 90723 |
|
187 |
184 |
$3K |
| 99460 |
|
29 |
29 |
$3K |
| 99462 |
|
73 |
51 |
$727.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
962 |
912 |
$655.81 |
| 90700 |
|
57 |
56 |
$543.00 |
| 90651 |
|
40 |
40 |
$420.00 |
| 90734 |
|
60 |
60 |
$340.50 |
| 90658 |
|
53 |
53 |
$273.00 |
| 90707 |
|
84 |
84 |
$260.01 |
| 90633 |
|
130 |
119 |
$168.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
341 |
$152.12 |
| 90648 |
|
357 |
353 |
$67.50 |
| 69210 |
|
81 |
80 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 90680 |
|
104 |
103 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
258 |
239 |
$0.00 |
| 90716 |
|
72 |
72 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
60 |
$0.00 |
| 87428 |
|
44 |
37 |
$0.00 |