| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,678 |
2,418 |
$193K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,607 |
1,598 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
381 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
436 |
414 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
544 |
516 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
200 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,131 |
1,092 |
$16K |
| 99460 |
|
171 |
170 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
202 |
200 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
143 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
104 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
158 |
150 |
$6K |
| 92587 |
|
217 |
214 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 92567 |
|
288 |
283 |
$4K |
| 99383 |
|
26 |
26 |
$3K |
| 90480 |
|
64 |
63 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
63 |
$2K |
| 92551 |
|
130 |
129 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
97 |
$887.45 |
| 99173 |
|
287 |
287 |
$745.26 |
| 99188 |
|
54 |
54 |
$563.18 |
| 99441 |
|
12 |
12 |
$481.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$182.16 |
| 85013 |
|
24 |
24 |
$149.52 |
| 83655 |
|
12 |
12 |
$129.24 |
| 90656 |
|
78 |
78 |
$0.06 |
| 90686 |
|
304 |
304 |
$0.02 |
| 90671 |
|
124 |
124 |
$0.00 |
| 96160 |
|
93 |
93 |
$0.00 |
| 90623 |
|
13 |
13 |
$0.00 |
| 91321 |
|
34 |
33 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 90680 |
|
72 |
72 |
$0.00 |
| 90688 |
|
49 |
49 |
$0.00 |
| 90677 |
|
94 |
94 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
19 |
19 |
$0.00 |
| 90697 |
|
63 |
63 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |