| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,152 |
13,600 |
$677K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,882 |
3,834 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,557 |
3,507 |
$328K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,770 |
2,578 |
$234K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,902 |
7,362 |
$218K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,453 |
1,415 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,614 |
$108K |
| 90461 |
|
4,810 |
3,969 |
$56K |
| 99429 |
|
1,352 |
1,340 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,128 |
3,051 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,164 |
1,119 |
$32K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
429 |
408 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
994 |
975 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
598 |
349 |
$10K |
| 87428 |
|
276 |
256 |
$9K |
| 0072A |
|
179 |
177 |
$7K |
| 92551 |
|
3,219 |
3,163 |
$7K |
| 0071A |
|
195 |
162 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
560 |
554 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
286 |
278 |
$4K |
| 99177 |
|
2,593 |
2,565 |
$4K |
| 96160 |
|
1,426 |
1,396 |
$3K |
| 83655 |
|
259 |
256 |
$3K |
| 90473 |
|
226 |
223 |
$3K |
| 0111A |
|
57 |
42 |
$2K |
| 99173 |
|
2,693 |
2,639 |
$2K |
| 99001 |
|
836 |
804 |
$2K |
| 0112A |
|
28 |
25 |
$1K |
| 99000 |
|
74 |
73 |
$680.16 |
| 90686 |
|
2,735 |
2,704 |
$677.00 |
| 90677 |
|
453 |
434 |
$577.87 |
| 90672 |
|
1,106 |
1,089 |
$480.17 |
| 96380 |
|
22 |
16 |
$300.04 |
| 90670 |
|
1,655 |
1,635 |
$161.94 |
| 90680 |
|
1,015 |
996 |
$161.11 |
| 90698 |
|
825 |
818 |
$160.92 |
| 90697 |
|
240 |
229 |
$87.70 |
| 90744 |
|
196 |
195 |
$80.27 |
| 90656 |
|
392 |
373 |
$79.25 |
| 85018 |
|
27 |
26 |
$17.24 |
| 99072 |
|
1,063 |
1,023 |
$15.00 |
| 36416 |
|
313 |
309 |
$12.25 |
| 90633 |
|
404 |
398 |
$0.48 |
| 90660 |
|
199 |
192 |
$0.23 |
| 90651 |
|
64 |
64 |
$0.10 |
| 90734 |
|
12 |
12 |
$0.02 |
| 91311 |
|
132 |
104 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
12 |
$0.00 |
| 91307 |
|
470 |
419 |
$0.00 |