| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,104 |
5,377 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,159 |
3,078 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
696 |
625 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
438 |
388 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
408 |
$28K |
| 92552 |
|
2,042 |
1,717 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,716 |
1,454 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
539 |
470 |
$14K |
| 86328 |
|
661 |
353 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
220 |
187 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
867 |
751 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
208 |
157 |
$7K |
| 96127 |
|
1,971 |
1,474 |
$6K |
| 99173 |
|
2,266 |
1,908 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
53 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
241 |
$3K |
| 87428 |
|
59 |
33 |
$928.20 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
267 |
143 |
$880.33 |
| 99050 |
|
57 |
38 |
$719.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
47 |
$564.59 |
| 96160 |
|
462 |
354 |
$342.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
51 |
$262.06 |
| 0012A |
|
26 |
16 |
$259.56 |
| 0011A |
|
16 |
15 |
$159.07 |
| 90686 |
|
222 |
201 |
$20.53 |
| 90633 |
|
29 |
28 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
12 |
$0.00 |
| 90698 |
|
26 |
14 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| 3008F |
|
22 |
14 |
$0.00 |
| 91301 |
|
49 |
39 |
$0.00 |
| 3725F |
|
800 |
597 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
338 |
163 |
$0.00 |
| 90670 |
|
40 |
28 |
$0.00 |
| 1160F |
|
224 |
147 |
$0.00 |
| 1159F |
|
223 |
147 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
45 |
15 |
$0.00 |