| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,070 |
10,788 |
$636K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,069 |
4,636 |
$381K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,834 |
2,213 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,494 |
1,884 |
$109K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,876 |
2,733 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,771 |
4,967 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,136 |
1,602 |
$81K |
| 90461 |
|
5,797 |
2,890 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,362 |
1,015 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,743 |
1,205 |
$33K |
| 92552 |
|
242 |
236 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,118 |
1,248 |
$28K |
| 99401 |
|
604 |
590 |
$23K |
| 99173 |
|
651 |
627 |
$23K |
| 85018 |
|
3,038 |
2,366 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,159 |
1,548 |
$15K |
| 90686 |
|
471 |
391 |
$8K |
| 83655 |
|
767 |
626 |
$6K |
| 87807 |
|
1,376 |
833 |
$3K |
| 99174 |
|
1,457 |
1,090 |
$2K |
| 90677 |
|
294 |
202 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
66 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
74 |
$1K |
| 92551 |
|
103 |
103 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90697 |
|
344 |
273 |
$1K |
| 90671 |
|
169 |
162 |
$822.15 |
| 99381 |
|
12 |
12 |
$780.48 |
| 90688 |
|
239 |
234 |
$750.57 |
| 90710 |
|
120 |
89 |
$750.56 |
| 97802 |
|
27 |
27 |
$705.00 |
| 99188 |
|
12 |
12 |
$584.54 |
| 0071A |
|
31 |
29 |
$545.00 |
| 90670 |
|
1,190 |
805 |
$373.77 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
24 |
$324.00 |
| 94664 |
|
91 |
66 |
$304.81 |
| 90651 |
|
367 |
283 |
$288.72 |
| 99000 |
|
121 |
110 |
$255.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
17 |
$220.96 |
| 96127 |
|
454 |
337 |
$172.94 |
| 90680 |
|
102 |
77 |
$125.00 |
| 90734 |
|
234 |
157 |
$113.51 |
| S9470 |
Nutritional counseling, dietitian visit |
758 |
688 |
$105.00 |
| 90647 |
|
729 |
497 |
$99.27 |
| 90633 |
|
1,013 |
706 |
$96.65 |
| 90656 |
|
92 |
87 |
$96.38 |
| 90619 |
|
83 |
73 |
$68.00 |
| 90715 |
|
224 |
163 |
$41.39 |
| 90700 |
|
146 |
99 |
$29.31 |
| 36416 |
|
753 |
588 |
$15.84 |
| 90707 |
|
162 |
81 |
$0.00 |
| 90681 |
|
232 |
168 |
$0.00 |
| 90723 |
|
567 |
367 |
$0.00 |
| 90696 |
|
154 |
97 |
$0.00 |
| 90698 |
|
65 |
45 |
$0.00 |
| 90716 |
|
149 |
72 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 91307 |
|
38 |
34 |
$0.00 |