| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,341 |
3,181 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
697 |
693 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
434 |
429 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
271 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
347 |
$24K |
| 99177 |
|
840 |
827 |
$5K |
| 99051 |
|
119 |
116 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
497 |
488 |
$4K |
| 92551 |
|
870 |
856 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
196 |
195 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 90688 |
|
435 |
312 |
$2K |
| 99188 |
|
61 |
61 |
$1K |
| 90670 |
|
215 |
199 |
$902.00 |
| 90698 |
|
61 |
53 |
$583.00 |
| 96161 |
|
138 |
136 |
$561.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$333.60 |
| 90633 |
|
64 |
52 |
$308.00 |
| 90686 |
|
169 |
167 |
$242.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
92 |
$236.28 |
| 87428 |
|
12 |
12 |
$227.49 |
| 96127 |
|
37 |
36 |
$24.00 |
| 83655 |
|
14 |
14 |
$24.00 |
| 99080 |
|
368 |
366 |
$0.21 |
| S9451 |
Exercise classes, non-physician provider, per session |
933 |
919 |
$0.16 |
| 99499 |
|
412 |
405 |
$0.04 |
| 3008F |
|
2,021 |
1,933 |
$0.01 |
| 90697 |
|
39 |
39 |
$0.00 |
| 90677 |
|
55 |
55 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
28 |
28 |
$0.00 |
| 90656 |
|
85 |
85 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |