| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,179 |
2,739 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
840 |
840 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
704 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
528 |
527 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
537 |
531 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,990 |
1,979 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
379 |
335 |
$15K |
| 92552 |
|
1,011 |
1,005 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
524 |
519 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
106 |
104 |
$5K |
| 99188 |
|
420 |
420 |
$4K |
| 96160 |
|
2,307 |
2,292 |
$3K |
| 96127 |
|
485 |
473 |
$2K |
| 83655 |
|
91 |
91 |
$1K |
| 0071A |
|
31 |
31 |
$866.14 |
| 0072A |
|
29 |
29 |
$807.32 |
| 0002A |
|
20 |
20 |
$558.80 |
| 0001A |
|
19 |
19 |
$530.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
139 |
$529.02 |
| 85018 |
|
89 |
89 |
$174.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$110.00 |
| 99174 |
|
467 |
467 |
$18.20 |
| 96161 |
|
95 |
94 |
$13.40 |
| 90686 |
|
780 |
778 |
$0.02 |
| 36416 |
|
176 |
173 |
$0.00 |
| 90680 |
|
109 |
108 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,777 |
1,755 |
$0.00 |
| 90723 |
|
65 |
65 |
$0.00 |
| 90698 |
|
73 |
71 |
$0.00 |
| 90647 |
|
52 |
52 |
$0.00 |
| 91307 |
|
62 |
62 |
$0.00 |
| 90461 |
|
457 |
455 |
$0.00 |
| 90670 |
|
267 |
265 |
$0.00 |
| 99173 |
|
854 |
847 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90685 |
|
46 |
46 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |