| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,237 |
20,533 |
$1.10M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,469 |
3,465 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,098 |
3,096 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,872 |
2,683 |
$182K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,281 |
2,280 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,417 |
12,329 |
$163K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,483 |
13,380 |
$149K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,136 |
13,775 |
$133K |
| 99188 |
|
4,682 |
4,672 |
$121K |
| 99173 |
|
5,001 |
4,983 |
$82K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
335 |
335 |
$48K |
| 90461 |
|
3,606 |
3,597 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,180 |
1,144 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,257 |
1,249 |
$32K |
| 96127 |
|
3,047 |
3,039 |
$31K |
| 92588 |
|
6,104 |
6,091 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
187 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,249 |
1,243 |
$14K |
| 99401 |
|
308 |
308 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
298 |
$5K |
| 0071A |
|
70 |
70 |
$3K |
| 0072A |
|
55 |
55 |
$3K |
| 87807 |
|
154 |
154 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
70 |
65 |
$1K |
| 99050 |
|
48 |
47 |
$778.32 |
| 92551 |
|
58 |
58 |
$571.02 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$496.56 |
| 90658 |
|
3,976 |
3,962 |
$420.69 |
| 90670 |
|
1,111 |
1,111 |
$257.99 |
| 99382 |
|
26 |
26 |
$154.02 |
| 90674 |
|
13 |
13 |
$116.92 |
| 90686 |
|
1,760 |
1,760 |
$0.00 |
| 90680 |
|
604 |
604 |
$0.00 |
| 90677 |
|
304 |
304 |
$0.00 |
| 91307 |
|
141 |
137 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
388 |
387 |
$0.00 |
| 90698 |
|
378 |
378 |
$0.00 |
| 90697 |
|
103 |
103 |
$0.00 |
| 90744 |
|
80 |
80 |
$0.00 |
| 99383 |
|
29 |
29 |
$0.00 |
| 90748 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90649 |
|
424 |
424 |
$0.00 |
| 90633 |
|
325 |
325 |
$0.00 |
| 90661 |
|
200 |
199 |
$0.00 |
| 90671 |
|
70 |
70 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90734 |
|
249 |
249 |
$0.00 |
| 91308 |
|
27 |
24 |
$0.00 |
| 90710 |
|
114 |
114 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |