| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,077 |
10,409 |
$675K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,816 |
6,747 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,901 |
1,901 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,919 |
1,919 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,934 |
1,931 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,524 |
1,524 |
$116K |
| 92587 |
|
3,447 |
3,447 |
$81K |
| 87428 |
|
1,088 |
1,056 |
$36K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,849 |
1,849 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
237 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,737 |
4,730 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,700 |
3,434 |
$18K |
| 90461 |
|
407 |
405 |
$18K |
| 96127 |
|
3,483 |
3,483 |
$15K |
| 86580 |
|
2,991 |
2,984 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
595 |
496 |
$10K |
| 81000 |
|
3,080 |
3,079 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
43 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
75 |
$2K |
| 99173 |
|
1,633 |
1,633 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$897.74 |
| 90686 |
|
1,158 |
1,158 |
$329.91 |
| 90651 |
|
87 |
87 |
$290.00 |
| 90715 |
|
38 |
38 |
$108.15 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
115 |
115 |
$47.58 |
| 90672 |
|
31 |
31 |
$19.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90670 |
|
409 |
409 |
$0.00 |
| 90734 |
|
55 |
55 |
$0.00 |
| 90710 |
|
80 |
80 |
$0.00 |
| 90698 |
|
446 |
445 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 90619 |
|
130 |
130 |
$0.00 |
| 90680 |
|
62 |
62 |
$0.00 |
| 99000 |
|
26 |
26 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 90677 |
|
37 |
37 |
$0.00 |