| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
877 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
789 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
233 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
100 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
35 |
30 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
148 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$902.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
60 |
$710.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
51 |
$317.52 |
| 85018 |
|
72 |
72 |
$105.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
212 |
211 |
$87.83 |
| 90670 |
|
60 |
60 |
$81.00 |
| 90686 |
|
80 |
80 |
$75.00 |
| 99173 |
|
265 |
259 |
$57.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
37 |
$31.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
397 |
$9.82 |
| 36416 |
|
62 |
50 |
$7.15 |
| 90647 |
|
18 |
18 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
727 |
586 |
$0.00 |
| 97802 |
|
172 |
172 |
$0.00 |
| 96127 |
|
109 |
98 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
168 |
168 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
106 |
97 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 92567 |
|
13 |
13 |
$0.00 |
| 81002 |
|
104 |
102 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |