| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
4,220 |
3,999 |
$663K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,268 |
4,109 |
$357K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,532 |
3,380 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,349 |
3,167 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
512 |
485 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
579 |
570 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
682 |
$16K |
| 90461 |
|
1,177 |
1,137 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
169 |
166 |
$11K |
| 94760 |
|
11,331 |
10,461 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
462 |
459 |
$8K |
| 92587 |
|
1,991 |
1,913 |
$4K |
| 90686 |
|
717 |
708 |
$3K |
| 99072 |
|
536 |
494 |
$932.82 |
| 97803 |
|
5,385 |
5,061 |
$757.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$653.34 |
| 0072A |
|
13 |
13 |
$440.00 |
| 0002A |
|
13 |
13 |
$440.00 |
| 0071A |
|
12 |
12 |
$440.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
475 |
460 |
$120.20 |
| 99000 |
|
189 |
163 |
$99.42 |
| 91300 |
|
30 |
29 |
$80.00 |
| 90698 |
|
166 |
160 |
$72.01 |
| 90651 |
|
71 |
68 |
$64.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
29 |
$59.58 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,086 |
1,993 |
$46.34 |
| 96127 |
|
208 |
202 |
$43.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$43.48 |
| 90680 |
|
76 |
73 |
$20.00 |
| 99051 |
|
45 |
44 |
$15.14 |
| 96160 |
|
114 |
114 |
$2.57 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,104 |
2,015 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
43 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| 92551 |
|
48 |
47 |
$0.00 |
| 91307 |
|
23 |
23 |
$0.00 |
| 90697 |
|
49 |
47 |
$0.00 |
| 36416 |
|
14 |
13 |
$0.00 |
| 99173 |
|
1,725 |
1,651 |
$0.00 |
| 90670 |
|
327 |
319 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |