| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,936 |
1,513 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
999 |
866 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
825 |
747 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
190 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
93 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
472 |
464 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
75 |
$34.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$25.08 |
| 92558 |
|
159 |
155 |
$9.56 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
145 |
145 |
$0.00 |
| 3008F |
|
73 |
70 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 99050 |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
166 |
163 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
95 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
90 |
$0.00 |
| 90461 |
|
58 |
58 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$0.00 |
| 97803 |
|
221 |
220 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 69210 |
|
13 |
12 |
$0.00 |