| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,494 |
8,488 |
$318K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,502 |
2,487 |
$225K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,275 |
2,261 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,717 |
2,574 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,776 |
1,628 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,328 |
1,323 |
$103K |
| 99215 |
Prolong outpt/office vis |
502 |
485 |
$47K |
| 90671 |
|
100 |
99 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,779 |
4,741 |
$23K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
752 |
709 |
$16K |
| 90619 |
|
29 |
29 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,240 |
1,198 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,019 |
982 |
$3K |
| 99383 |
|
38 |
38 |
$3K |
| 99382 |
|
12 |
12 |
$1K |
| 90686 |
|
277 |
276 |
$879.37 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$704.45 |
| 90697 |
|
59 |
58 |
$498.66 |
| 87807 |
|
74 |
74 |
$237.75 |
| 90648 |
|
52 |
52 |
$36.46 |
| 90670 |
|
65 |
65 |
$18.00 |
| 99000 |
|
1,250 |
1,133 |
$0.00 |
| 90680 |
|
19 |
19 |
$0.00 |
| 85018 |
|
156 |
156 |
$0.00 |
| 94760 |
|
113 |
101 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 99173 |
|
809 |
799 |
$0.00 |
| 85014 |
|
126 |
126 |
$0.00 |
| 86328 |
|
122 |
107 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |