| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,969 |
2,498 |
$333K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,116 |
1,822 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,000 |
914 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
786 |
763 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,147 |
1,977 |
$44K |
| 99401 |
|
2,146 |
1,984 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
158 |
$20K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
341 |
324 |
$10K |
| 92552 |
|
730 |
703 |
$9K |
| 97802 |
|
788 |
756 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
349 |
330 |
$7K |
| 90461 |
|
108 |
104 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
683 |
659 |
$5K |
| 90670 |
|
240 |
223 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
600 |
324 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90698 |
|
94 |
85 |
$402.49 |
| 90686 |
|
374 |
357 |
$221.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
80 |
$183.72 |
| 90680 |
|
93 |
84 |
$175.00 |
| 99173 |
|
814 |
709 |
$86.21 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$60.00 |
| 96161 |
|
128 |
114 |
$58.93 |
| 90656 |
|
12 |
12 |
$50.00 |
| 96127 |
|
12 |
12 |
$41.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
73 |
$32.54 |
| 90677 |
|
81 |
76 |
$30.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
861 |
732 |
$5.00 |
| 90744 |
|
31 |
29 |
$0.00 |
| 90633 |
|
31 |
29 |
$0.00 |
| 90710 |
|
29 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |