| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,334 |
7,063 |
$606K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,470 |
3,352 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
508 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
377 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
369 |
363 |
$37K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,610 |
1,595 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
137 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,098 |
1,087 |
$10K |
| 90461 |
|
576 |
562 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
368 |
355 |
$5K |
| 90686 |
|
697 |
641 |
$3K |
| 0071A |
|
57 |
57 |
$2K |
| 90649 |
|
84 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
159 |
$2K |
| 0072A |
|
47 |
46 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
103 |
101 |
$1K |
| 97802 |
|
1,548 |
1,503 |
$1K |
| 90688 |
|
55 |
55 |
$956.37 |
| 90480 |
|
15 |
15 |
$610.00 |
| 90656 |
|
184 |
183 |
$583.47 |
| 3008F |
|
1,261 |
1,220 |
$525.50 |
| 91321 |
|
12 |
12 |
$350.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$323.24 |
| 90671 |
|
14 |
12 |
$225.00 |
| 90633 |
|
24 |
24 |
$73.84 |
| 83655 |
|
15 |
15 |
$25.20 |
| 90670 |
|
12 |
12 |
$0.00 |
| 91307 |
|
96 |
82 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |