| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,494 |
28,994 |
$2.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,738 |
4,575 |
$563K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,824 |
4,674 |
$561K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,339 |
4,758 |
$514K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,423 |
3,282 |
$456K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,080 |
3,763 |
$454K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,950 |
4,607 |
$340K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,420 |
11,435 |
$280K |
| 90461 |
|
4,640 |
4,409 |
$133K |
| 92552 |
|
7,611 |
7,304 |
$92K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,191 |
5,056 |
$92K |
| 90671 |
|
1,180 |
1,128 |
$82K |
| 99383 |
|
508 |
478 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,216 |
6,434 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,937 |
5,703 |
$45K |
| 99382 |
|
238 |
235 |
$32K |
| 99384 |
|
189 |
180 |
$30K |
| 99188 |
|
2,063 |
1,999 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
348 |
345 |
$20K |
| 99381 |
|
183 |
177 |
$19K |
| 87807 |
|
1,453 |
1,289 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
33 |
$4K |
| 83655 |
|
799 |
769 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
34 |
$4K |
| 90633 |
|
2,415 |
2,335 |
$3K |
| 85018 |
|
1,335 |
1,284 |
$2K |
| 90686 |
|
1,760 |
1,704 |
$1K |
| 96127 |
|
783 |
722 |
$884.02 |
| 69210 |
|
17 |
15 |
$749.97 |
| 90647 |
|
1,689 |
1,635 |
$696.30 |
| 90670 |
|
1,278 |
1,224 |
$493.96 |
| 81002 |
|
258 |
245 |
$351.49 |
| 90723 |
|
1,012 |
974 |
$290.47 |
| 99173 |
|
12,257 |
10,204 |
$265.52 |
| 92567 |
|
139 |
132 |
$259.44 |
| 86580 |
|
190 |
131 |
$240.60 |
| 90716 |
|
125 |
119 |
$142.47 |
| 90651 |
|
1,643 |
1,553 |
$102.03 |
| 90620 |
|
750 |
714 |
$102.03 |
| 90707 |
|
141 |
137 |
$82.49 |
| 90696 |
|
181 |
176 |
$78.30 |
| 90734 |
|
1,314 |
1,256 |
$72.03 |
| 92551 |
|
4,540 |
3,309 |
$65.38 |
| 90700 |
|
171 |
163 |
$61.04 |
| 81025 |
|
18 |
15 |
$51.72 |
| 90715 |
|
361 |
352 |
$41.39 |
| 99499 |
|
29 |
29 |
$0.18 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
431 |
315 |
$0.00 |
| 90688 |
|
16 |
14 |
$0.00 |
| 36416 |
|
173 |
165 |
$0.00 |
| 90680 |
|
64 |
64 |
$0.00 |
| 90698 |
|
29 |
29 |
$0.00 |
| 99080 |
|
816 |
757 |
$0.00 |
| 90681 |
|
483 |
467 |
$0.00 |
| 90710 |
|
303 |
300 |
$0.00 |
| 97803 |
|
23 |
18 |
$0.00 |