| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,006 |
3,518 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,427 |
1,330 |
$94K |
| 92552 |
|
593 |
591 |
$90K |
| 85018 |
|
848 |
838 |
$55K |
| 90698 |
|
372 |
370 |
$54K |
| 99173 |
|
808 |
806 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
627 |
616 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
491 |
297 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
791 |
$19K |
| 99174 |
|
388 |
385 |
$18K |
| 83655 |
|
667 |
658 |
$17K |
| 90686 |
|
357 |
355 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
286 |
277 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
476 |
$10K |
| 90744 |
|
148 |
145 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
184 |
$6K |
| 90670 |
|
518 |
512 |
$3K |
| 99188 |
|
74 |
74 |
$3K |
| 90688 |
|
49 |
49 |
$3K |
| 87807 |
|
55 |
55 |
$3K |
| 90633 |
|
173 |
172 |
$2K |
| 90707 |
|
12 |
12 |
$2K |
| 99401 |
|
659 |
648 |
$2K |
| 94664 |
|
26 |
25 |
$2K |
| 96127 |
|
213 |
212 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$1K |
| 99000 |
|
103 |
102 |
$1K |
| 92551 |
|
178 |
178 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
21 |
$1K |
| 90696 |
|
24 |
24 |
$950.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,967 |
1,849 |
$667.67 |
| 90651 |
|
60 |
60 |
$625.10 |
| 90734 |
|
29 |
28 |
$237.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22 |
22 |
$228.64 |
| 90681 |
|
84 |
84 |
$218.33 |
| 90461 |
|
1,035 |
932 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |