| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,544 |
5,224 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,943 |
5,620 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,511 |
1,499 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
948 |
905 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
667 |
632 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
306 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,259 |
3,187 |
$16K |
| 97802 |
|
954 |
909 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
631 |
623 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
346 |
340 |
$3K |
| 97803 |
|
115 |
113 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
432 |
384 |
$2K |
| 99460 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
116 |
$992.00 |
| H0049 |
Alcohol and/or drug screening |
37 |
36 |
$765.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
374 |
365 |
$676.39 |
| 85018 |
|
1,344 |
1,306 |
$376.56 |
| 87807 |
|
86 |
85 |
$320.61 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
27 |
27 |
$255.00 |
| 90686 |
|
97 |
97 |
$212.99 |
| 83655 |
|
128 |
127 |
$192.04 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,392 |
1,327 |
$133.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
39 |
$0.00 |
| 90461 |
|
230 |
228 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |