| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,485 |
5,901 |
$254K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,197 |
1,187 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,825 |
1,808 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,074 |
943 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,125 |
1,993 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,931 |
2,899 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
771 |
766 |
$56K |
| 92557 |
|
1,118 |
1,110 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
386 |
382 |
$27K |
| 92582 |
|
771 |
759 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,091 |
3,047 |
$15K |
| 99173 |
|
1,605 |
1,593 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
949 |
900 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
238 |
$7K |
| 92551 |
|
348 |
343 |
$5K |
| 99188 |
|
223 |
218 |
$4K |
| 81003 |
|
2,415 |
2,361 |
$4K |
| 83655 |
|
310 |
308 |
$3K |
| D1206 |
Topical application of fluoride varnish |
155 |
155 |
$3K |
| 87807 |
|
88 |
87 |
$1K |
| 96127 |
|
257 |
254 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$963.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$961.33 |
| 90473 |
|
28 |
28 |
$567.28 |
| 90686 |
|
1,418 |
1,409 |
$139.69 |
| 85018 |
|
42 |
42 |
$82.41 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,295 |
1,288 |
$23.70 |
| 90723 |
|
105 |
101 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90651 |
|
59 |
59 |
$0.00 |
| 90647 |
|
206 |
203 |
$0.00 |
| 36416 |
|
22 |
21 |
$0.00 |
| 90670 |
|
481 |
473 |
$0.00 |
| 90685 |
|
124 |
124 |
$0.00 |
| G9920 |
Screening performed and negative |
701 |
693 |
$0.00 |
| 90633 |
|
92 |
91 |
$0.00 |
| 90681 |
|
28 |
28 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
125 |
125 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90734 |
|
40 |
39 |
$0.00 |