| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,784 |
3,482 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,279 |
2,134 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,186 |
1,176 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,059 |
1,039 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
850 |
843 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,869 |
3,395 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
687 |
639 |
$51K |
| 99429 |
|
780 |
766 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
406 |
400 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,889 |
1,838 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
668 |
327 |
$9K |
| 99000 |
|
771 |
729 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
483 |
470 |
$7K |
| 90461 |
|
872 |
728 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
133 |
$3K |
| 92552 |
|
153 |
153 |
$3K |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
106 |
101 |
$430.50 |
| 83655 |
|
13 |
13 |
$145.77 |
| 85018 |
|
32 |
32 |
$67.42 |
| 90658 |
|
514 |
513 |
$36.92 |
| 90677 |
|
100 |
99 |
$0.37 |
| 90619 |
|
40 |
40 |
$0.23 |
| 90620 |
|
42 |
42 |
$0.09 |
| 90734 |
|
64 |
64 |
$0.06 |
| 90670 |
|
398 |
374 |
$0.02 |
| 90633 |
|
122 |
121 |
$0.02 |
| 90651 |
|
131 |
130 |
$0.01 |
| 99173 |
|
319 |
318 |
$0.00 |
| 90710 |
|
34 |
34 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90686 |
|
392 |
387 |
$0.00 |
| 90698 |
|
372 |
351 |
$0.00 |
| 90680 |
|
158 |
154 |
$0.00 |
| 90660 |
|
225 |
179 |
$0.00 |
| 90656 |
|
72 |
72 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 36416 |
|
30 |
30 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |