| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,860 |
10,586 |
$613K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,711 |
2,709 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,047 |
2,047 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,073 |
1,957 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,154 |
8,116 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,169 |
2,137 |
$75K |
| 87428 |
|
1,478 |
1,457 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
520 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
379 |
378 |
$31K |
| 96127 |
|
5,824 |
5,811 |
$16K |
| 99441 |
|
749 |
736 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
187 |
$15K |
| 90686 |
|
1,762 |
1,760 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
450 |
337 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
608 |
607 |
$5K |
| 87807 |
|
277 |
273 |
$3K |
| 99497 |
|
61 |
61 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 96160 |
|
3,729 |
3,727 |
$2K |
| 99460 |
|
31 |
31 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
234 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
465 |
$2K |
| 90677 |
|
49 |
49 |
$1K |
| 97802 |
|
1,381 |
1,378 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$1K |
| 94010 |
|
55 |
54 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$1K |
| 90715 |
|
95 |
95 |
$1K |
| 0031A |
|
47 |
47 |
$1K |
| 99462 |
|
41 |
28 |
$1K |
| 90671 |
|
32 |
31 |
$1K |
| 94760 |
|
14,898 |
14,792 |
$823.00 |
| 99177 |
|
1,501 |
1,501 |
$686.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
28 |
$536.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
106 |
$487.27 |
| 93000 |
|
37 |
37 |
$394.25 |
| 99408 |
|
469 |
468 |
$387.42 |
| 97803 |
|
428 |
428 |
$247.84 |
| 90461 |
|
687 |
687 |
$150.43 |
| 83655 |
|
13 |
12 |
$109.86 |
| 3078F |
|
574 |
561 |
$81.00 |
| 3074F |
|
702 |
687 |
$70.00 |
| 99406 |
|
26 |
24 |
$64.11 |
| 99000 |
|
521 |
501 |
$63.75 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$41.50 |
| 90647 |
|
95 |
95 |
$25.00 |
| 1159F |
|
1,032 |
987 |
$0.00 |
| 1160F |
|
1,002 |
956 |
$0.00 |
| 90670 |
|
357 |
357 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12 |
12 |
$0.00 |
| 90723 |
|
102 |
102 |
$0.00 |
| 1126F |
|
347 |
334 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 91303 |
|
40 |
40 |
$0.00 |
| 90697 |
|
28 |
27 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |