| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,436 |
8,605 |
$366K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,641 |
1,612 |
$136K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,717 |
4,698 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,100 |
1,042 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,493 |
1,450 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
841 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
525 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
898 |
876 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,867 |
1,822 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
829 |
810 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,538 |
2,493 |
$21K |
| 90461 |
|
1,812 |
1,563 |
$9K |
| 90670 |
|
762 |
744 |
$4K |
| 92551 |
|
538 |
527 |
$523.47 |
| 90686 |
|
1,579 |
1,567 |
$511.25 |
| 90698 |
|
491 |
481 |
$485.10 |
| 90651 |
|
159 |
156 |
$269.71 |
| 90621 |
|
14 |
14 |
$242.03 |
| 99051 |
|
15 |
15 |
$104.38 |
| 90680 |
|
230 |
224 |
$90.65 |
| 99072 |
|
39 |
39 |
$30.00 |
| 81003 |
|
12 |
12 |
$23.89 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
716 |
675 |
$5.05 |
| G8432 |
Depression screening not documented, reason not given |
190 |
178 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
165 |
157 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
48 |
46 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90707 |
|
154 |
146 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
870 |
842 |
$0.00 |
| 99173 |
|
1,531 |
1,511 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
998 |
964 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,016 |
955 |
$0.00 |
| 90671 |
|
52 |
52 |
$0.00 |
| 90633 |
|
144 |
135 |
$0.00 |
| 90734 |
|
68 |
68 |
$0.00 |