| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,302 |
1,418 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
947 |
826 |
$24K |
| 96156 |
|
614 |
572 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,304 |
1,141 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
144 |
$6K |
| 96151 |
|
489 |
415 |
$6K |
| G9920 |
Screening performed and negative |
392 |
356 |
$4K |
| 92551 |
|
322 |
284 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
701 |
638 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
789 |
719 |
$1K |
| 92552 |
|
246 |
228 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
305 |
283 |
$960.00 |
| 90686 |
|
201 |
197 |
$679.89 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$678.84 |
| 90670 |
|
31 |
28 |
$534.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$412.08 |
| 90685 |
|
23 |
22 |
$201.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
98 |
85 |
$185.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
239 |
209 |
$148.40 |
| 90700 |
|
16 |
16 |
$146.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$141.46 |
| 90748 |
|
15 |
15 |
$137.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
34 |
$136.33 |
| 90633 |
|
14 |
13 |
$124.29 |
| 90648 |
|
15 |
12 |
$54.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$25.48 |
| 99406 |
|
28 |
27 |
$13.44 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
179 |
168 |
$0.00 |
| 3008F |
|
658 |
588 |
$0.00 |
| 99000 |
|
109 |
99 |
$0.00 |
| 86318 |
|
92 |
84 |
$0.00 |
| 99173 |
|
133 |
132 |
$0.00 |
| 96160 |
|
467 |
426 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
702 |
638 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
108 |
101 |
$0.00 |
| 99408 |
|
17 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |