| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,760 |
34,432 |
$2.89M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,370 |
6,807 |
$764K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,887 |
5,869 |
$679K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,162 |
5,053 |
$578K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,083 |
13,058 |
$500K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,160 |
3,982 |
$498K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,488 |
4,266 |
$468K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,269 |
9,902 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,159 |
3,875 |
$186K |
| 99173 |
|
12,088 |
11,693 |
$86K |
| 99070 |
|
27,043 |
23,837 |
$83K |
| 92551 |
|
11,989 |
11,611 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,937 |
1,907 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,219 |
3,926 |
$45K |
| 96127 |
|
1,979 |
1,811 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
502 |
492 |
$20K |
| 99051 |
|
2,911 |
2,775 |
$20K |
| 94760 |
|
11,801 |
10,917 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,676 |
1,564 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,670 |
3,569 |
$17K |
| 99188 |
|
768 |
720 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
315 |
$7K |
| 94010 |
|
317 |
311 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
43 |
$5K |
| 94016 |
|
331 |
324 |
$5K |
| 87428 |
|
81 |
81 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
109 |
$2K |
| 87807 |
|
88 |
82 |
$908.51 |
| 99050 |
|
30 |
30 |
$389.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$68.07 |
| 90670 |
|
2,720 |
2,655 |
$0.01 |
| 90686 |
|
5,618 |
5,323 |
$0.00 |
| 99000 |
|
1,831 |
1,777 |
$0.00 |
| 90723 |
|
571 |
567 |
$0.00 |
| 90651 |
|
709 |
610 |
$0.00 |
| 90697 |
|
77 |
77 |
$0.00 |
| 90696 |
|
93 |
83 |
$0.00 |
| 90698 |
|
41 |
38 |
$0.00 |
| 90710 |
|
990 |
929 |
$0.00 |
| 90648 |
|
1,639 |
1,612 |
$0.00 |
| 90633 |
|
1,170 |
1,123 |
$0.00 |
| 90681 |
|
469 |
462 |
$0.00 |
| 90685 |
|
173 |
170 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 90734 |
|
646 |
586 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90715 |
|
143 |
133 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 90671 |
|
17 |
17 |
$0.00 |