| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,471 |
4,794 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,930 |
2,632 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,418 |
1,393 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,215 |
1,176 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,047 |
1,020 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
844 |
818 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,168 |
1,154 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
190 |
187 |
$9K |
| 99051 |
|
353 |
346 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
105 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
200 |
$2K |
| 87428 |
|
130 |
129 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$2K |
| 90686 |
|
473 |
453 |
$886.53 |
| 99188 |
|
48 |
41 |
$665.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
878 |
634 |
$621.50 |
| 96127 |
|
571 |
523 |
$566.60 |
| 96160 |
|
582 |
533 |
$484.94 |
| 90651 |
|
77 |
75 |
$234.00 |
| 92551 |
|
823 |
761 |
$194.50 |
| 90648 |
|
462 |
448 |
$180.00 |
| 90670 |
|
407 |
404 |
$180.00 |
| 99177 |
|
559 |
530 |
$170.67 |
| 90734 |
|
109 |
108 |
$138.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
434 |
372 |
$0.00 |
| 90723 |
|
195 |
194 |
$0.00 |
| 96161 |
|
222 |
192 |
$0.00 |
| 90680 |
|
116 |
115 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90677 |
|
19 |
13 |
$0.00 |
| 90619 |
|
18 |
18 |
$0.00 |
| G9920 |
Screening performed and negative |
696 |
636 |
$0.00 |
| 90661 |
|
26 |
26 |
$0.00 |
| 90633 |
|
114 |
112 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |