| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,876 |
5,493 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,481 |
3,268 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,679 |
1,678 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,342 |
1,337 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,031 |
1,026 |
$92K |
| 99215 |
Prolong outpt/office vis |
526 |
382 |
$63K |
| 99051 |
|
2,112 |
2,076 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
645 |
645 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,279 |
1,230 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
391 |
381 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
378 |
184 |
$5K |
| 90686 |
|
1,057 |
979 |
$4K |
| 87428 |
|
148 |
148 |
$3K |
| 99188 |
|
162 |
162 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$3K |
| 90648 |
|
842 |
780 |
$2K |
| 90670 |
|
555 |
493 |
$2K |
| 92551 |
|
1,494 |
1,493 |
$977.62 |
| 0071A |
|
35 |
35 |
$880.00 |
| 90633 |
|
248 |
235 |
$880.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$788.83 |
| 90680 |
|
367 |
336 |
$756.00 |
| 90723 |
|
424 |
392 |
$737.00 |
| 99177 |
|
1,387 |
1,386 |
$630.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,582 |
1,581 |
$604.27 |
| 85018 |
|
769 |
765 |
$463.39 |
| 96127 |
|
912 |
912 |
$303.82 |
| 96160 |
|
900 |
900 |
$264.37 |
| 0072A |
|
27 |
26 |
$220.00 |
| 83655 |
|
229 |
226 |
$103.32 |
| 90677 |
|
292 |
292 |
$0.00 |
| 96161 |
|
727 |
720 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
301 |
293 |
$0.00 |
| 90651 |
|
145 |
145 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90619 |
|
44 |
44 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
839 |
837 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 80061 |
Lipid panel |
23 |
23 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90661 |
|
159 |
159 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |