| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,092 |
2,863 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,320 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
763 |
743 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
663 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
328 |
322 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
809 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
87 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
169 |
$4K |
| 96160 |
|
2,015 |
1,945 |
$2K |
| 99177 |
|
431 |
427 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
231 |
225 |
$1K |
| 99173 |
|
1,030 |
1,006 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
60 |
$1K |
| 83655 |
|
779 |
766 |
$794.75 |
| 99188 |
|
41 |
41 |
$743.22 |
| 92551 |
|
692 |
675 |
$741.22 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$738.27 |
| 87428 |
|
33 |
29 |
$648.10 |
| 90480 |
|
19 |
18 |
$517.16 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$489.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
262 |
224 |
$469.37 |
| 90697 |
|
561 |
544 |
$416.00 |
| 90686 |
|
522 |
460 |
$410.35 |
| 96127 |
|
241 |
237 |
$302.63 |
| 90680 |
|
492 |
478 |
$250.00 |
| 99462 |
|
14 |
12 |
$221.35 |
| 90671 |
|
556 |
542 |
$210.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$161.18 |
| 85018 |
|
181 |
181 |
$133.89 |
| 96161 |
|
231 |
228 |
$113.11 |
| 90670 |
|
134 |
129 |
$60.00 |
| 99072 |
|
333 |
315 |
$27.00 |
| 90710 |
|
191 |
171 |
$20.00 |
| 90633 |
|
218 |
208 |
$10.00 |
| 94760 |
|
27 |
27 |
$6.34 |
| 80061 |
Lipid panel |
40 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
121 |
121 |
$0.00 |
| 90656 |
|
121 |
120 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |