| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,421 |
2,960 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,241 |
1,119 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,322 |
2,023 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
605 |
523 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
247 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
232 |
224 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
64 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,381 |
1,255 |
$5K |
| 85018 |
|
917 |
808 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
111 |
$2K |
| 96127 |
|
382 |
373 |
$2K |
| 96160 |
|
313 |
306 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
22 |
$880.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
48 |
$579.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$493.23 |
| 96161 |
|
67 |
66 |
$255.75 |
| 99188 |
|
14 |
13 |
$226.04 |
| 92551 |
|
55 |
53 |
$112.26 |
| 99173 |
|
137 |
117 |
$107.32 |
| 90461 |
|
31 |
28 |
$90.00 |
| 36416 |
|
685 |
596 |
$46.40 |
| 90686 |
|
157 |
153 |
$41.18 |
| 90688 |
|
117 |
96 |
$19.62 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,127 |
1,041 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90670 |
|
80 |
80 |
$0.00 |