| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,286 |
15,796 |
$684K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,534 |
6,886 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,234 |
2,217 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,159 |
2,152 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,661 |
1,652 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,803 |
1,784 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,339 |
4,814 |
$133K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,579 |
827 |
$23K |
| CP002 |
|
2,134 |
1,701 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,099 |
1,521 |
$17K |
| 90461 |
|
3,433 |
2,768 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
730 |
723 |
$10K |
| 99381 |
|
82 |
79 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
130 |
128 |
$6K |
| 81002 |
|
1,470 |
1,359 |
$4K |
| 96160 |
|
1,129 |
1,109 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
212 |
201 |
$1K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
4,693 |
4,641 |
$1K |
| 86580 |
|
104 |
104 |
$799.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$738.72 |
| 99051 |
|
13 |
13 |
$194.22 |
| 90686 |
|
1,009 |
1,006 |
$0.03 |
| 90715 |
|
130 |
130 |
$0.02 |
| 90734 |
|
633 |
632 |
$0.00 |
| 90707 |
|
795 |
792 |
$0.00 |
| 90648 |
|
1,451 |
1,448 |
$0.00 |
| 90670 |
|
1,745 |
1,739 |
$0.00 |
| 90633 |
|
762 |
759 |
$0.00 |
| 90700 |
|
74 |
74 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
4,798 |
4,742 |
$0.00 |
| 90723 |
|
1,304 |
1,302 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,807 |
4,746 |
$0.00 |
| 90716 |
|
795 |
792 |
$0.00 |
| 90696 |
|
106 |
106 |
$0.00 |
| 90680 |
|
1,165 |
1,163 |
$0.00 |
| 90651 |
|
514 |
514 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
25 |
24 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |