| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,454 |
6,349 |
$488K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,329 |
7,835 |
$303K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,235 |
3,817 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,649 |
3,629 |
$298K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,467 |
9,962 |
$239K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,411 |
1,406 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,439 |
2,343 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,028 |
3,976 |
$98K |
| 99429 |
|
2,405 |
2,369 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,145 |
5,205 |
$58K |
| 90461 |
|
7,588 |
6,058 |
$37K |
| 99381 |
|
204 |
200 |
$17K |
| 99383 |
|
151 |
151 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,400 |
1,336 |
$12K |
| 99460 |
|
158 |
158 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
190 |
188 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
170 |
170 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
557 |
544 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
248 |
$7K |
| 90671 |
|
980 |
962 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
153 |
$4K |
| 90619 |
|
290 |
280 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
177 |
$2K |
| 54150 |
|
32 |
32 |
$2K |
| 96160 |
|
673 |
664 |
$1K |
| 99382 |
|
12 |
12 |
$994.97 |
| 99462 |
|
12 |
12 |
$421.56 |
| 81002 |
|
91 |
90 |
$254.04 |
| 0071A |
|
46 |
32 |
$40.29 |
| 90733 |
|
258 |
254 |
$32.55 |
| 90710 |
|
1,381 |
1,354 |
$0.00 |
| 90648 |
|
2,585 |
2,517 |
$0.00 |
| 90621 |
|
156 |
153 |
$0.00 |
| 90633 |
|
2,223 |
2,189 |
$0.00 |
| 90672 |
|
171 |
170 |
$0.00 |
| 90670 |
|
2,715 |
2,577 |
$0.00 |
| 90700 |
|
1,056 |
1,036 |
$0.00 |
| 90707 |
|
634 |
608 |
$0.00 |
| 90715 |
|
186 |
185 |
$0.00 |
| 90713 |
|
74 |
74 |
$0.00 |
| 90723 |
|
1,687 |
1,635 |
$0.00 |
| 90716 |
|
646 |
618 |
$0.00 |
| 90680 |
|
2,346 |
2,219 |
$0.00 |
| 90744 |
|
66 |
65 |
$0.00 |
| 90651 |
|
943 |
934 |
$0.00 |
| 90696 |
|
847 |
815 |
$0.00 |
| 90698 |
|
732 |
709 |
$0.00 |
| 90686 |
|
2,261 |
2,232 |
$0.00 |
| 91307 |
|
67 |
48 |
$0.00 |
| 90697 |
|
382 |
319 |
$0.00 |
| 90660 |
|
68 |
67 |
$0.00 |
| 96161 |
|
91 |
87 |
$0.00 |
| 90656 |
|
234 |
234 |
$0.00 |