| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,836 |
1,823 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,581 |
4,325 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,765 |
2,634 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,048 |
1,038 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,077 |
1,073 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
467 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
721 |
706 |
$14K |
| 99177 |
|
1,175 |
1,169 |
$10K |
| 96160 |
|
3,244 |
3,226 |
$9K |
| 99464 |
|
168 |
166 |
$8K |
| 99173 |
|
2,373 |
2,353 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
242 |
232 |
$8K |
| 99188 |
|
426 |
425 |
$8K |
| 87428 |
|
297 |
291 |
$7K |
| 90686 |
|
1,519 |
1,406 |
$7K |
| 90670 |
|
819 |
760 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
216 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
668 |
652 |
$4K |
| 99460 |
|
111 |
110 |
$4K |
| 90698 |
|
418 |
362 |
$3K |
| 90680 |
|
548 |
509 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
94 |
92 |
$2K |
| 0071A |
|
62 |
61 |
$2K |
| 92551 |
|
1,417 |
1,404 |
$2K |
| 90633 |
|
427 |
384 |
$2K |
| 83655 |
|
1,614 |
1,606 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
932 |
898 |
$2K |
| 99072 |
|
1,446 |
1,339 |
$2K |
| 90710 |
|
386 |
354 |
$2K |
| 96127 |
|
726 |
720 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
90 |
88 |
$2K |
| 0072A |
|
44 |
44 |
$1K |
| 85018 |
|
698 |
697 |
$1K |
| 90744 |
|
158 |
140 |
$1K |
| 96161 |
|
479 |
479 |
$1K |
| 0081A |
|
12 |
12 |
$508.00 |
| 99462 |
|
22 |
17 |
$433.23 |
| 90734 |
|
36 |
36 |
$346.00 |
| 90651 |
|
48 |
42 |
$323.00 |
| 99000 |
|
140 |
134 |
$214.08 |
| 90697 |
|
286 |
286 |
$198.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$195.78 |
| 90696 |
|
24 |
24 |
$129.00 |
| 90620 |
|
12 |
12 |
$103.00 |
| 81002 |
|
24 |
24 |
$73.25 |
| 94760 |
|
16 |
15 |
$34.58 |
| 36416 |
|
150 |
147 |
$17.50 |
| 80061 |
Lipid panel |
112 |
112 |
$0.00 |
| 90671 |
|
56 |
56 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
151 |
151 |
$0.00 |
| 90656 |
|
68 |
68 |
$0.00 |
| 91307 |
|
107 |
106 |
$0.00 |