| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,468 |
4,922 |
$203K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,611 |
1,578 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,446 |
2,263 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,165 |
1,143 |
$100K |
| 87428 |
|
1,532 |
1,461 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,047 |
977 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,842 |
3,313 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
470 |
462 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
575 |
550 |
$23K |
| S8301 |
Infection control supplies, not otherwise specified |
2,439 |
2,199 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,085 |
1,034 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,668 |
1,407 |
$14K |
| 90461 |
|
1,955 |
1,587 |
$7K |
| 99000 |
|
633 |
605 |
$7K |
| 92587 |
|
1,357 |
1,320 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
117 |
116 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
158 |
$5K |
| 92551 |
|
2,026 |
1,984 |
$4K |
| 96160 |
|
7,199 |
4,308 |
$3K |
| 0071A |
|
57 |
57 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
708 |
676 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 99001 |
|
265 |
261 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
82 |
$876.17 |
| 99051 |
|
172 |
163 |
$802.64 |
| 83655 |
|
279 |
274 |
$599.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$360.56 |
| 85018 |
|
558 |
547 |
$148.38 |
| 87807 |
|
12 |
12 |
$125.95 |
| 96161 |
|
297 |
288 |
$84.26 |
| 90686 |
|
1,041 |
1,024 |
$37.10 |
| A9150 |
Non-prescription drugs |
98 |
81 |
$33.53 |
| 90677 |
|
27 |
27 |
$0.24 |
| 91307 |
|
120 |
107 |
$0.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,969 |
1,940 |
$0.06 |
| 90670 |
|
763 |
750 |
$0.05 |
| 90672 |
|
189 |
185 |
$0.04 |
| 91308 |
|
28 |
26 |
$0.03 |
| 90710 |
|
249 |
242 |
$0.03 |
| 90633 |
|
360 |
354 |
$0.03 |
| 90680 |
|
463 |
454 |
$0.02 |
| 90648 |
|
135 |
131 |
$0.02 |
| 90651 |
|
96 |
91 |
$0.01 |
| 90619 |
|
13 |
13 |
$0.01 |
| 36416 |
|
818 |
790 |
$0.00 |
| 90697 |
|
81 |
80 |
$0.00 |
| 90656 |
|
79 |
79 |
$0.00 |
| 96127 |
|
135 |
101 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90716 |
|
31 |
30 |
$0.00 |
| 90723 |
|
30 |
30 |
$0.00 |
| 90647 |
|
92 |
92 |
$0.00 |
| 90696 |
|
76 |
72 |
$0.00 |
| 1033F |
|
4,971 |
4,694 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 99173 |
|
1,872 |
1,833 |
$0.00 |
| 99177 |
|
1,126 |
1,094 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90734 |
|
36 |
32 |
$0.00 |