| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,329 |
7,656 |
$455K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,305 |
2,206 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,306 |
2,302 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,730 |
1,721 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,349 |
1,346 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,449 |
1,370 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,602 |
4,538 |
$46K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,161 |
2,148 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,167 |
1,127 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
209 |
194 |
$10K |
| G9007 |
Coordinated care fee, scheduled team conference |
331 |
298 |
$6K |
| 87428 |
|
170 |
167 |
$6K |
| 98966 |
|
606 |
520 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
61 |
$4K |
| 99383 |
|
39 |
36 |
$3K |
| 90473 |
|
264 |
264 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
146 |
$2K |
| 0071A |
|
57 |
57 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 99381 |
|
35 |
33 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
237 |
210 |
$2K |
| 99382 |
|
25 |
21 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 96161 |
|
423 |
384 |
$934.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
385 |
376 |
$456.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
49 |
$453.76 |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$404.40 |
| 85018 |
|
211 |
210 |
$396.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$387.27 |
| 98967 |
|
23 |
16 |
$375.48 |
| 90686 |
|
1,274 |
1,264 |
$146.72 |
| 36416 |
|
208 |
205 |
$98.76 |
| 90672 |
|
107 |
107 |
$80.82 |
| 81003 |
|
12 |
12 |
$27.66 |
| 90670 |
|
872 |
846 |
$0.00 |
| 90685 |
|
98 |
97 |
$0.00 |
| 90734 |
|
145 |
145 |
$0.00 |
| 2014F |
|
375 |
365 |
$0.00 |
| 90633 |
|
171 |
166 |
$0.00 |
| G9920 |
Screening performed and negative |
49 |
49 |
$0.00 |
| 90461 |
|
223 |
105 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90651 |
|
114 |
112 |
$0.00 |
| 90698 |
|
993 |
970 |
$0.00 |
| 90680 |
|
454 |
441 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,203 |
1,199 |
$0.00 |
| 90656 |
|
116 |
116 |
$0.00 |
| 90744 |
|
82 |
78 |
$0.00 |
| 91307 |
|
130 |
123 |
$0.00 |
| 90688 |
|
41 |
40 |
$0.00 |
| 90660 |
|
15 |
15 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |