| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
768 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
556 |
486 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
240 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
172 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
150 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,225 |
647 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
93 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
172 |
158 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
215 |
$5K |
| 90461 |
|
1,194 |
318 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
100 |
93 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
126 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
431 |
332 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
152 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
40 |
$774.18 |
| 99000 |
|
57 |
54 |
$550.80 |
| 87807 |
|
38 |
34 |
$385.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$337.48 |
| 92587 |
|
57 |
57 |
$83.48 |
| 90670 |
|
107 |
107 |
$0.01 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99173 |
|
61 |
61 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90686 |
|
151 |
145 |
$0.00 |
| 96127 |
|
82 |
78 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |