| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,163 |
14,548 |
$783K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,515 |
3,081 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,314 |
3,126 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,895 |
2,631 |
$197K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,313 |
2,171 |
$191K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,505 |
3,184 |
$56K |
| 90670 |
|
2,283 |
2,032 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,236 |
989 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,791 |
1,666 |
$28K |
| 90651 |
|
992 |
899 |
$24K |
| 90677 |
|
371 |
354 |
$20K |
| 90698 |
|
1,885 |
1,694 |
$20K |
| 90744 |
|
1,281 |
1,146 |
$13K |
| 90633 |
|
1,171 |
1,030 |
$13K |
| 90710 |
|
957 |
867 |
$13K |
| 90700 |
|
1,151 |
1,005 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
280 |
270 |
$12K |
| 90686 |
|
1,091 |
995 |
$11K |
| 90734 |
|
729 |
670 |
$11K |
| 96127 |
|
780 |
768 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
787 |
741 |
$10K |
| 90681 |
|
664 |
620 |
$9K |
| 90715 |
|
671 |
590 |
$9K |
| 83655 |
|
590 |
510 |
$7K |
| 90619 |
|
340 |
323 |
$6K |
| 90713 |
|
418 |
379 |
$5K |
| 99381 |
|
44 |
43 |
$4K |
| 99383 |
|
38 |
37 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
46 |
$4K |
| 90648 |
|
241 |
212 |
$4K |
| 90723 |
|
166 |
152 |
$3K |
| 90716 |
|
158 |
149 |
$2K |
| 0071A |
|
54 |
52 |
$2K |
| 1220F |
|
1,392 |
1,294 |
$2K |
| 90707 |
|
150 |
140 |
$2K |
| 85018 |
|
623 |
533 |
$1K |
| 87428 |
|
21 |
19 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 87807 |
|
34 |
34 |
$342.04 |
| 90685 |
|
27 |
25 |
$237.62 |
| 90656 |
|
13 |
13 |
$217.23 |
| 90696 |
|
13 |
13 |
$184.60 |
| 90620 |
|
17 |
13 |
$108.80 |
| 2015F |
|
98 |
97 |
$45.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
68 |
67 |
$0.00 |