| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,360 |
8,334 |
$271K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,607 |
2,257 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,469 |
2,111 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,912 |
1,668 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,742 |
1,420 |
$66K |
| 85018 |
|
7,864 |
7,028 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,833 |
3,456 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
406 |
$17K |
| 90670 |
|
1,549 |
1,207 |
$14K |
| 92552 |
|
861 |
852 |
$13K |
| 90649 |
|
814 |
629 |
$8K |
| 90697 |
|
278 |
240 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,147 |
1,139 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,535 |
1,331 |
$6K |
| 97802 |
|
841 |
829 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,129 |
909 |
$4K |
| 90633 |
|
856 |
761 |
$4K |
| 99383 |
|
49 |
48 |
$4K |
| 92551 |
|
5,010 |
4,190 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
151 |
$4K |
| 90723 |
|
331 |
241 |
$3K |
| 81003 |
|
4,970 |
4,303 |
$3K |
| 99173 |
|
5,048 |
4,372 |
$2K |
| 90620 |
|
173 |
151 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
492 |
246 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
889 |
807 |
$2K |
| 36416 |
|
1,554 |
1,298 |
$1K |
| 90461 |
|
1,809 |
1,639 |
$1K |
| 90686 |
|
459 |
350 |
$1K |
| 90716 |
|
105 |
100 |
$980.12 |
| 99382 |
|
12 |
12 |
$958.19 |
| 99177 |
|
305 |
204 |
$921.70 |
| 86403 |
|
49 |
39 |
$543.45 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
61 |
61 |
$513.96 |
| 90734 |
|
410 |
343 |
$372.57 |
| 90680 |
|
840 |
682 |
$292.92 |
| 90707 |
|
106 |
99 |
$247.48 |
| 90648 |
|
634 |
472 |
$214.26 |
| 90715 |
|
154 |
147 |
$206.95 |
| 90700 |
|
41 |
38 |
$203.72 |
| 90671 |
|
82 |
82 |
$173.92 |
| 83655 |
|
47 |
47 |
$117.66 |
| 96127 |
|
365 |
357 |
$50.00 |
| 92567 |
|
23 |
15 |
$49.86 |
| 90696 |
|
70 |
69 |
$48.36 |
| 90651 |
|
129 |
126 |
$28.36 |
| 90677 |
|
184 |
179 |
$28.36 |
| 90710 |
|
59 |
55 |
$20.00 |
| 99174 |
|
615 |
470 |
$14.18 |
| 81002 |
|
13 |
13 |
$8.40 |
| 87070 |
|
31 |
31 |
$6.23 |
| 90473 |
|
62 |
45 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
126 |
124 |
$0.00 |
| 90619 |
|
102 |
101 |
$0.00 |