| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,819 |
6,124 |
$266K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,481 |
1,393 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,434 |
2,721 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
946 |
895 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
955 |
897 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
663 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,691 |
4,171 |
$26K |
| 99429 |
|
619 |
595 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
533 |
463 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,668 |
721 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
179 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,257 |
1,060 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
526 |
487 |
$12K |
| 99000 |
|
793 |
662 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
420 |
359 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
153 |
144 |
$6K |
| 90461 |
|
1,225 |
998 |
$3K |
| 99381 |
|
28 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$188.52 |
| 90686 |
|
529 |
456 |
$58.33 |
| 94760 |
|
313 |
222 |
$44.10 |
| 90677 |
|
262 |
256 |
$0.74 |
| 90651 |
|
30 |
29 |
$0.03 |
| 1159F |
|
886 |
748 |
$0.00 |
| 3078F |
|
693 |
607 |
$0.00 |
| 99072 |
|
61 |
39 |
$0.00 |
| 90670 |
|
374 |
361 |
$0.00 |
| 90633 |
|
185 |
176 |
$0.00 |
| 90648 |
|
93 |
92 |
$0.00 |
| 90655 |
|
73 |
70 |
$0.00 |
| 90710 |
|
15 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
33 |
33 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90647 |
|
172 |
168 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| 3008F |
|
1,348 |
1,137 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 3074F |
|
693 |
607 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90680 |
|
169 |
165 |
$0.00 |
| 90723 |
|
57 |
56 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
225 |
202 |
$0.00 |
| 90656 |
|
147 |
140 |
$0.00 |
| 1125F |
|
44 |
36 |
$0.00 |