| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,623 |
13,151 |
$549K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,363 |
2,295 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,489 |
2,382 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,383 |
1,349 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,827 |
4,611 |
$100K |
| 99221 |
|
1,103 |
1,082 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
828 |
783 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
654 |
635 |
$33K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
348 |
334 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
473 |
396 |
$20K |
| 90461 |
|
6,937 |
3,102 |
$20K |
| 87634 |
|
332 |
303 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,166 |
1,830 |
$18K |
| 99460 |
|
251 |
238 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
550 |
533 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
934 |
892 |
$12K |
| 90677 |
|
453 |
449 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
281 |
275 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
107 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
196 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
173 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
46 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
44 |
$2K |
| 54150 |
|
25 |
25 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$903.50 |
| 90688 |
|
254 |
253 |
$838.81 |
| 90681 |
|
948 |
928 |
$678.84 |
| 92552 |
|
12 |
12 |
$267.75 |
| 90651 |
|
244 |
242 |
$256.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$208.02 |
| 96160 |
|
171 |
165 |
$204.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
50 |
$184.42 |
| 90619 |
|
34 |
34 |
$167.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$144.30 |
| 96161 |
|
263 |
251 |
$130.50 |
| 96380 |
|
13 |
13 |
$114.54 |
| 90670 |
|
1,497 |
1,455 |
$0.00 |
| 90633 |
|
992 |
978 |
$0.00 |
| 90710 |
|
705 |
696 |
$0.00 |
| 90700 |
|
158 |
154 |
$0.00 |
| 90715 |
|
89 |
86 |
$0.00 |
| 99177 |
|
47 |
47 |
$0.00 |
| 90734 |
|
141 |
140 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90647 |
|
1,342 |
1,309 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
134 |
119 |
$0.00 |
| 90723 |
|
929 |
909 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90686 |
|
933 |
905 |
$0.00 |
| 90698 |
|
204 |
199 |
$0.00 |
| 90381 |
|
19 |
13 |
$0.00 |
| 36416 |
|
123 |
109 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90696 |
|
84 |
82 |
$0.00 |