| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,294 |
3,861 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,227 |
1,130 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
887 |
878 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,059 |
1,017 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,512 |
1,580 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
708 |
688 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
939 |
911 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
305 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
96 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
721 |
518 |
$6K |
| 90461 |
|
1,076 |
874 |
$5K |
| 99460 |
|
75 |
69 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
128 |
128 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
46 |
$3K |
| 99001 |
|
473 |
454 |
$2K |
| 87807 |
|
113 |
111 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
73 |
69 |
$680.26 |
| 99462 |
|
14 |
14 |
$545.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
71 |
$484.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
13 |
$161.14 |
| 96160 |
|
12 |
12 |
$11.58 |
| 90677 |
|
28 |
28 |
$2.80 |
| 90648 |
|
783 |
774 |
$0.00 |
| 90670 |
|
713 |
708 |
$0.00 |
| 99072 |
|
56 |
54 |
$0.00 |
| 90681 |
|
173 |
172 |
$0.00 |
| 90633 |
|
109 |
108 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90723 |
|
536 |
533 |
$0.00 |
| 90686 |
|
192 |
191 |
$0.00 |