| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,966 |
8,358 |
$628K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,967 |
1,864 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,090 |
1,083 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,068 |
1,060 |
$83K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,958 |
1,840 |
$65K |
| 92550 |
|
4,102 |
4,021 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,287 |
5,154 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,423 |
3,247 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
640 |
607 |
$42K |
| 92081 |
|
2,155 |
2,147 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
333 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,782 |
1,702 |
$26K |
| 92588 |
|
627 |
620 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
868 |
845 |
$9K |
| 69210 |
|
253 |
252 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
394 |
$5K |
| 99051 |
|
574 |
554 |
$4K |
| 94060 |
|
136 |
136 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
100 |
$4K |
| 92558 |
|
510 |
508 |
$3K |
| 97802 |
|
1,353 |
1,339 |
$1K |
| 96127 |
|
181 |
179 |
$595.72 |
| 99406 |
|
46 |
46 |
$233.53 |
| 83655 |
|
15 |
14 |
$136.40 |
| 90658 |
|
169 |
169 |
$122.50 |
| 90688 |
|
65 |
65 |
$38.35 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
240 |
239 |
$25.11 |
| 96160 |
|
12 |
12 |
$21.36 |
| 90686 |
|
105 |
105 |
$19.03 |
| 90461 |
|
547 |
538 |
$0.00 |
| 90670 |
|
124 |
123 |
$0.00 |
| 90713 |
|
40 |
39 |
$0.00 |
| 90648 |
|
27 |
25 |
$0.00 |
| 90700 |
|
98 |
98 |
$0.00 |
| 90633 |
|
54 |
54 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |