| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,040 |
11,520 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,859 |
1,836 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,346 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,118 |
1,076 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,354 |
1,353 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
916 |
913 |
$22K |
| 92551 |
|
1,700 |
1,694 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,642 |
1,306 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
356 |
338 |
$4K |
| 97803 |
|
1,315 |
1,315 |
$3K |
| 90686 |
|
1,220 |
1,216 |
$3K |
| 92552 |
|
1,322 |
1,316 |
$3K |
| 0072A |
|
65 |
65 |
$3K |
| 0071A |
|
64 |
64 |
$3K |
| 90670 |
|
564 |
535 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$2K |
| 90697 |
|
268 |
259 |
$2K |
| 90680 |
|
298 |
289 |
$2K |
| 90461 |
|
516 |
499 |
$2K |
| 90677 |
|
162 |
162 |
$1K |
| 90710 |
|
196 |
193 |
$1K |
| 90671 |
|
126 |
124 |
$895.82 |
| 99173 |
|
1,419 |
1,415 |
$889.79 |
| 96127 |
|
166 |
166 |
$651.23 |
| 90698 |
|
217 |
210 |
$603.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
47 |
$559.71 |
| 90633 |
|
156 |
152 |
$510.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
40 |
$282.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
319 |
296 |
$229.79 |
| 90621 |
|
25 |
25 |
$220.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$200.91 |
| 87807 |
|
14 |
13 |
$119.98 |
| 90380 |
|
13 |
13 |
$117.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
46 |
$115.45 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,039 |
1,038 |
$89.00 |
| 90744 |
|
25 |
25 |
$81.00 |
| 90696 |
|
12 |
12 |
$63.00 |
| 90700 |
|
31 |
31 |
$54.00 |
| 90651 |
|
22 |
22 |
$54.00 |
| 90685 |
|
37 |
37 |
$36.19 |
| 90648 |
|
24 |
24 |
$36.00 |
| 90713 |
|
13 |
13 |
$9.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
147 |
$4.46 |
| 99072 |
|
54 |
50 |
$3.50 |
| 99177 |
|
45 |
45 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |