| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,673 |
5,028 |
$276K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,185 |
2,177 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,549 |
1,533 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,386 |
1,311 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,157 |
1,153 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
403 |
402 |
$34K |
| 99051 |
|
980 |
950 |
$27K |
| 87428 |
|
208 |
204 |
$6K |
| 90686 |
|
965 |
918 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
113 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
88 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
203 |
$3K |
| 90670 |
|
904 |
890 |
$3K |
| 90648 |
|
1,164 |
1,143 |
$3K |
| 90723 |
|
883 |
864 |
$2K |
| 90680 |
|
753 |
740 |
$2K |
| 90633 |
|
534 |
530 |
$1K |
| 92551 |
|
915 |
915 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,644 |
1,642 |
$829.78 |
| 0071A |
|
12 |
12 |
$528.00 |
| 99177 |
|
691 |
691 |
$511.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$309.90 |
| 96127 |
|
657 |
656 |
$276.76 |
| 90656 |
|
97 |
96 |
$249.40 |
| 96160 |
|
646 |
645 |
$244.68 |
| 99173 |
|
169 |
169 |
$171.85 |
| 90700 |
|
76 |
76 |
$160.49 |
| 90716 |
|
36 |
36 |
$132.00 |
| 90707 |
|
39 |
39 |
$132.00 |
| 85018 |
|
422 |
419 |
$96.70 |
| 83655 |
|
290 |
290 |
$35.77 |
| 96161 |
|
1,169 |
1,159 |
$0.00 |
| 90677 |
|
273 |
267 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
151 |
150 |
$0.00 |
| 90696 |
|
36 |
36 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 90661 |
|
159 |
159 |
$0.00 |
| G9920 |
Screening performed and negative |
739 |
737 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |