| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,745 |
12,249 |
$477K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,054 |
3,605 |
$193K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,176 |
2,012 |
$153K |
| 99401 |
|
3,420 |
2,704 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,181 |
1,881 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,614 |
1,373 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,022 |
897 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,855 |
3,539 |
$29K |
| 97802 |
|
2,789 |
2,210 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
488 |
459 |
$16K |
| 99188 |
|
2,437 |
2,275 |
$13K |
| 90670 |
|
971 |
891 |
$11K |
| 81003 |
|
5,121 |
4,512 |
$2K |
| 85018 |
|
5,814 |
5,186 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,502 |
1,261 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
1,658 |
1,384 |
$2K |
| 83655 |
|
901 |
811 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,447 |
888 |
$1K |
| 96160 |
|
1,787 |
1,221 |
$1K |
| 99402 |
|
33 |
18 |
$624.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
216 |
$443.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$410.38 |
| 90686 |
|
388 |
386 |
$327.82 |
| 90698 |
|
208 |
204 |
$225.44 |
| 90715 |
|
196 |
148 |
$185.57 |
| 0001A |
|
78 |
76 |
$175.00 |
| 90633 |
|
426 |
399 |
$150.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$150.00 |
| 90647 |
|
72 |
71 |
$148.76 |
| 0002A |
|
39 |
39 |
$145.00 |
| 90680 |
|
270 |
245 |
$138.76 |
| 99177 |
|
2,199 |
1,584 |
$125.70 |
| 91300 |
|
94 |
90 |
$65.01 |
| 90651 |
|
222 |
182 |
$50.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
48 |
$25.67 |
| 90696 |
|
46 |
46 |
$20.00 |
| 90744 |
|
133 |
127 |
$10.00 |
| 99173 |
|
513 |
373 |
$0.00 |
| 90734 |
|
189 |
125 |
$0.00 |
| 90461 |
|
535 |
422 |
$0.00 |
| 90710 |
|
86 |
86 |
$0.00 |
| 90700 |
|
21 |
20 |
$0.00 |
| 90713 |
|
14 |
13 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 3008F |
|
3,075 |
2,434 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,237 |
1,087 |
$0.00 |
| 96161 |
|
67 |
55 |
$0.00 |
| 36416 |
|
1,040 |
933 |
$0.00 |
| 96127 |
|
580 |
463 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |