| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,115 |
1,773 |
$141K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,966 |
1,882 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
564 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
245 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,788 |
2,416 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
142 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
319 |
$13K |
| 97802 |
|
2,444 |
2,326 |
$12K |
| 96127 |
|
2,516 |
2,392 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
453 |
426 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,317 |
2,189 |
$7K |
| 85018 |
|
1,830 |
1,763 |
$5K |
| 81002 |
|
1,442 |
1,378 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
38 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
72 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
49 |
48 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 92551 |
|
489 |
472 |
$1K |
| 99173 |
|
463 |
449 |
$1K |
| 99429 |
|
102 |
51 |
$1K |
| 90473 |
|
15 |
15 |
$287.26 |
| 96160 |
|
71 |
67 |
$209.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
45 |
$133.97 |
| 90672 |
|
31 |
29 |
$56.64 |
| 90686 |
|
49 |
49 |
$51.10 |
| 36416 |
|
1,580 |
1,524 |
$42.88 |
| 90670 |
|
39 |
36 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
193 |
160 |
$0.00 |