| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,459 |
2,455 |
$382K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,575 |
2,333 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,702 |
1,616 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,497 |
2,415 |
$277K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,235 |
5,193 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
765 |
765 |
$118K |
| 99460 |
|
730 |
730 |
$108K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
643 |
642 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,561 |
1,549 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
145 |
142 |
$7K |
| 92587 |
|
153 |
152 |
$5K |
| 96161 |
|
984 |
977 |
$4K |
| 83655 |
|
329 |
329 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
44 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
119 |
$3K |
| 99441 |
|
33 |
33 |
$2K |
| 99462 |
|
19 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$1K |
| 87634 |
|
14 |
13 |
$874.16 |
| 99188 |
|
43 |
43 |
$788.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$353.60 |
| 90656 |
|
132 |
132 |
$188.39 |
| 87807 |
|
12 |
12 |
$146.04 |
| 85018 |
|
43 |
43 |
$99.43 |
| 96160 |
|
636 |
632 |
$4.52 |
| 90647 |
|
441 |
441 |
$0.00 |
| 90686 |
|
1,263 |
1,263 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
634 |
634 |
$0.00 |
| 90723 |
|
436 |
436 |
$0.00 |
| 90688 |
|
67 |
67 |
$0.00 |
| 90681 |
|
136 |
136 |
$0.00 |
| 90670 |
|
681 |
681 |
$0.00 |
| 90633 |
|
165 |
165 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |