| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,931 |
4,295 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,924 |
1,860 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
787 |
778 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
634 |
622 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
451 |
446 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
316 |
309 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
217 |
210 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
53 |
52 |
$5K |
| 96127 |
|
1,660 |
1,631 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,340 |
1,282 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
538 |
511 |
$4K |
| 90686 |
|
664 |
591 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
75 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
50 |
$1K |
| 87428 |
|
28 |
28 |
$1K |
| 92551 |
|
737 |
732 |
$884.51 |
| 99173 |
|
709 |
702 |
$589.40 |
| 90670 |
|
156 |
137 |
$539.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
123 |
$416.00 |
| 90461 |
|
572 |
567 |
$389.98 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$146.88 |
| 90734 |
|
76 |
67 |
$143.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
204 |
200 |
$88.46 |
| 90633 |
|
12 |
12 |
$88.00 |
| 96160 |
|
651 |
642 |
$75.65 |
| 90710 |
|
16 |
12 |
$55.00 |
| 85018 |
|
12 |
12 |
$21.30 |
| 83655 |
|
13 |
13 |
$11.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
78 |
78 |
$0.00 |
| 90619 |
|
22 |
22 |
$0.00 |
| 90651 |
|
16 |
15 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| 90620 |
|
50 |
39 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96161 |
|
167 |
163 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |