| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,521 |
1,009 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,034 |
853 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,707 |
1,409 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
887 |
668 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,105 |
1,022 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,714 |
1,365 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,097 |
2,443 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,705 |
1,408 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,689 |
1,396 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
174 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,002 |
629 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$5K |
| 97802 |
|
3,481 |
2,874 |
$4K |
| 90461 |
|
1,848 |
1,100 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,307 |
1,005 |
$3K |
| 90677 |
|
144 |
81 |
$2K |
| 99429 |
|
42 |
41 |
$1K |
| 99072 |
|
6,850 |
5,094 |
$1K |
| 90619 |
|
12 |
12 |
$335.06 |
| 90671 |
|
18 |
16 |
$220.34 |
| 92552 |
|
22 |
22 |
$26.52 |
| 96160 |
|
3,236 |
2,473 |
$22.26 |
| 96161 |
|
1,134 |
835 |
$7.66 |
| 90661 |
|
154 |
32 |
$0.31 |
| 90756 |
|
83 |
83 |
$0.31 |
| 90670 |
|
444 |
356 |
$0.03 |
| 90697 |
|
252 |
200 |
$0.02 |
| 90680 |
|
280 |
233 |
$0.01 |
| 96146 |
|
632 |
609 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,754 |
1,245 |
$0.00 |
| 96127 |
|
232 |
168 |
$0.00 |
| 90660 |
|
198 |
136 |
$0.00 |
| 90686 |
|
322 |
303 |
$0.00 |
| 90651 |
|
93 |
91 |
$0.00 |
| 90698 |
|
19 |
14 |
$0.00 |
| 99174 |
|
12 |
12 |
$0.00 |
| 1033F |
|
6,295 |
4,516 |
$0.00 |
| 90672 |
|
511 |
490 |
$0.00 |
| 97803 |
|
1,067 |
654 |
$0.00 |
| 1032F |
|
701 |
648 |
$0.00 |
| 99401 |
|
1,689 |
1,174 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99177 |
|
13 |
13 |
$0.00 |
| 90633 |
|
55 |
53 |
$0.00 |