| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,255 |
6,497 |
$298K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
893 |
874 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,399 |
1,257 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,260 |
1,791 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
651 |
637 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
515 |
505 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,611 |
2,167 |
$46K |
| S8301 |
Infection control supplies, not otherwise specified |
5,670 |
4,677 |
$22K |
| 99429 |
|
438 |
431 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
575 |
555 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
125 |
$8K |
| 87807 |
|
530 |
485 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
819 |
776 |
$5K |
| 97803 |
|
588 |
559 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$4K |
| 90461 |
|
627 |
488 |
$4K |
| 92587 |
|
186 |
182 |
$3K |
| 96160 |
|
2,006 |
1,941 |
$2K |
| 97169 |
|
27 |
27 |
$773.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
51 |
$730.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$605.88 |
| 81002 |
|
39 |
38 |
$125.19 |
| 90688 |
|
400 |
393 |
$2.84 |
| 90686 |
|
324 |
302 |
$0.12 |
| 90651 |
|
63 |
62 |
$0.04 |
| 90734 |
|
40 |
40 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,622 |
1,521 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90670 |
|
80 |
79 |
$0.00 |
| 99173 |
|
144 |
141 |
$0.00 |
| 90658 |
|
66 |
64 |
$0.00 |
| 90707 |
|
28 |
27 |
$0.00 |