| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,728 |
2,758 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
897 |
777 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
699 |
647 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
165 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
908 |
829 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
100 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 92558 |
|
242 |
230 |
$764.19 |
| 90461 |
|
160 |
143 |
$280.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
37 |
$206.08 |
| 97803 |
|
276 |
249 |
$52.55 |
| 96160 |
|
73 |
53 |
$2.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
28 |
$0.00 |
| 99173 |
|
394 |
374 |
$0.00 |
| 90670 |
|
110 |
92 |
$0.00 |
| 99177 |
|
28 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
65 |
63 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
281 |
270 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
100 |
97 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| 90674 |
|
14 |
13 |
$0.00 |
| 90686 |
|
68 |
65 |
$0.00 |
| 97802 |
|
120 |
111 |
$0.00 |
| 90656 |
|
76 |
73 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90680 |
|
27 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |