| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,290 |
1,153 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,075 |
1,053 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
481 |
475 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
407 |
402 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
359 |
$26K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,272 |
1,249 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
567 |
534 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
475 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
193 |
190 |
$12K |
| 99188 |
|
456 |
443 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
42 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
79 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
130 |
$994.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
181 |
$975.44 |
| 99383 |
|
14 |
13 |
$939.36 |
| 99381 |
|
12 |
12 |
$865.08 |
| 92587 |
|
122 |
120 |
$546.44 |
| 90744 |
|
63 |
61 |
$0.00 |
| 90651 |
|
68 |
67 |
$0.00 |
| 97802 |
|
1,446 |
1,416 |
$0.00 |
| 90686 |
|
363 |
352 |
$0.00 |
| 90698 |
|
135 |
135 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90670 |
|
184 |
184 |
$0.00 |
| 90633 |
|
133 |
131 |
$0.00 |
| 99173 |
|
669 |
651 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |
| 3085F |
|
19 |
19 |
$0.00 |