| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,529 |
2,741 |
$129K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,994 |
918 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
327 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
264 |
241 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
408 |
384 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,095 |
1,027 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,054 |
972 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
339 |
316 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
158 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
97 |
$7K |
| 99000 |
|
347 |
320 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
384 |
283 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
29 |
$2K |
| 90461 |
|
107 |
73 |
$643.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
22 |
$564.42 |
| 96160 |
|
290 |
267 |
$474.64 |
| 92587 |
|
184 |
143 |
$222.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$211.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
20 |
$203.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$102.62 |
| 96161 |
|
28 |
28 |
$65.78 |
| 90658 |
|
375 |
345 |
$0.02 |
| 90657 |
|
49 |
49 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
160 |
158 |
$0.00 |
| 90686 |
|
218 |
217 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 96127 |
|
40 |
39 |
$0.00 |
| 90651 |
|
20 |
20 |
$0.00 |
| 90680 |
|
15 |
14 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
161 |
159 |
$0.00 |
| 90734 |
|
74 |
70 |
$0.00 |
| 99173 |
|
123 |
84 |
$0.00 |
| 90670 |
|
19 |
18 |
$0.00 |