| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,489 |
13,243 |
$862K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,334 |
3,096 |
$311K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,039 |
3,985 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
953 |
952 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
403 |
395 |
$33K |
| G9153 |
Mapcp demonstration - physician incentive pool |
367 |
366 |
$24K |
| 87430 |
|
1,669 |
1,577 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
171 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,325 |
604 |
$17K |
| 90461 |
|
747 |
734 |
$15K |
| 87428 |
|
264 |
256 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,040 |
978 |
$12K |
| 87400 |
|
1,193 |
542 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
124 |
$5K |
| 99215 |
Prolong outpt/office vis |
34 |
31 |
$5K |
| 87807 |
|
81 |
80 |
$755.20 |
| 81003 |
|
322 |
302 |
$615.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$266.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$123.84 |
| 85018 |
|
49 |
49 |
$109.85 |
| 90686 |
|
683 |
679 |
$67.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$46.92 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
98 |
97 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 90647 |
|
36 |
36 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |
| 90723 |
|
25 |
24 |
$0.00 |