| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,420 |
16,140 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,626 |
10,724 |
$1.19M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
910 |
910 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,136 |
1,136 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,193 |
2,177 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
407 |
407 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
354 |
354 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
177 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
389 |
379 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
356 |
$16K |
| 99442 |
|
64 |
64 |
$5K |
| 99215 |
Prolong outpt/office vis |
33 |
33 |
$5K |
| 90686 |
|
914 |
914 |
$4K |
| 99441 |
|
84 |
84 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
186 |
$3K |
| 99050 |
|
157 |
146 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
328 |
327 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
146 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
52 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
36 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$976.48 |
| 99408 |
|
27 |
27 |
$872.10 |
| 96127 |
|
163 |
163 |
$657.56 |
| 99173 |
|
108 |
108 |
$264.66 |
| 84703 |
|
29 |
29 |
$194.01 |
| 99051 |
|
29 |
29 |
$192.37 |
| 99490 |
Ccm add 20min |
18 |
18 |
$73.29 |
| 96160 |
|
1,832 |
1,830 |
$0.02 |
| 94760 |
|
226 |
209 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
874 |
825 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 90651 |
|
19 |
19 |
$0.00 |
| 90702 |
|
14 |
14 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 90734 |
|
90 |
90 |
$0.00 |
| 90713 |
|
183 |
182 |
$0.00 |
| 90649 |
|
35 |
35 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 90700 |
|
171 |
170 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |