| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,468 |
20,424 |
$536K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,731 |
19,065 |
$420K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,379 |
6,378 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,318 |
5,318 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,523 |
2,520 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,284 |
2,272 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,833 |
1,803 |
$67K |
| H0049 |
Alcohol and/or drug screening |
3,302 |
3,299 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,778 |
1,736 |
$20K |
| 87428 |
|
406 |
403 |
$20K |
| G9007 |
Coordinated care fee, scheduled team conference |
184 |
184 |
$18K |
| 99429 |
|
533 |
533 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,303 |
1,202 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,057 |
3,034 |
$8K |
| 90661 |
|
502 |
501 |
$7K |
| 83655 |
|
699 |
698 |
$7K |
| 87081 |
|
985 |
964 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
78 |
$3K |
| 90686 |
|
3,805 |
3,798 |
$2K |
| 90480 |
|
72 |
72 |
$2K |
| 96127 |
|
970 |
966 |
$2K |
| 90651 |
|
274 |
274 |
$1K |
| 0071A |
|
30 |
30 |
$1K |
| 87430 |
|
266 |
262 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
92 |
$1K |
| 0002A |
|
23 |
23 |
$843.02 |
| 0072A |
|
26 |
26 |
$787.76 |
| 90461 |
|
712 |
711 |
$461.19 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$275.67 |
| 90674 |
|
368 |
368 |
$262.04 |
| 99188 |
|
12 |
12 |
$215.54 |
| 99441 |
|
19 |
19 |
$133.01 |
| 85018 |
|
27 |
27 |
$16.06 |
| 94760 |
|
48 |
44 |
$13.41 |
| 81002 |
|
14 |
13 |
$6.00 |
| 36416 |
|
670 |
668 |
$2.06 |
| 90723 |
|
505 |
504 |
$0.00 |
| 90680 |
|
349 |
349 |
$0.00 |
| 90647 |
|
592 |
592 |
$0.00 |
| 90696 |
|
125 |
125 |
$0.00 |
| 90716 |
|
183 |
183 |
$0.00 |
| 91307 |
|
60 |
60 |
$0.00 |
| 90619 |
|
86 |
86 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 99080 |
|
3,446 |
3,433 |
$0.00 |
| 99499 |
|
761 |
759 |
$0.00 |
| 90670 |
|
1,223 |
1,221 |
$0.00 |
| 90633 |
|
240 |
240 |
$0.00 |
| 90707 |
|
188 |
188 |
$0.00 |
| 90671 |
|
50 |
50 |
$0.00 |
| 90734 |
|
75 |
75 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 91300 |
|
48 |
48 |
$0.00 |