| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,391 |
5,287 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,696 |
2,429 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,363 |
1,221 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,174 |
1,107 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
753 |
703 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
730 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,078 |
3,117 |
$46K |
| 97803 |
|
749 |
609 |
$11K |
| 99401 |
|
1,226 |
1,114 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
348 |
320 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
163 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
71 |
58 |
$891.38 |
| 97802 |
|
806 |
760 |
$704.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
330 |
162 |
$663.49 |
| 90686 |
|
244 |
232 |
$485.19 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,275 |
1,155 |
$101.20 |
| 96127 |
|
209 |
187 |
$13.62 |
| 90649 |
|
62 |
46 |
$0.00 |
| 90461 |
|
212 |
193 |
$0.00 |
| 90670 |
|
45 |
38 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
66 |
63 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 90651 |
|
64 |
57 |
$0.00 |
| 90688 |
|
68 |
66 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |