| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,401 |
7,253 |
$731K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,639 |
1,617 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,338 |
1,327 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,073 |
1,063 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,797 |
5,517 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
893 |
876 |
$94K |
| 99442 |
|
806 |
768 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,095 |
1,063 |
$39K |
| 4124F |
|
269 |
260 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
162 |
$17K |
| 88738 |
|
2,768 |
2,732 |
$14K |
| 92552 |
|
440 |
436 |
$13K |
| 99188 |
|
590 |
581 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
581 |
574 |
$7K |
| 96127 |
|
1,171 |
1,157 |
$7K |
| 0071A |
|
131 |
131 |
$5K |
| 97802 |
|
3,219 |
3,182 |
$5K |
| 0072A |
|
120 |
120 |
$5K |
| 81002 |
|
2,074 |
2,024 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
474 |
452 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90686 |
|
396 |
387 |
$1K |
| 0073A |
|
24 |
24 |
$960.00 |
| 90480 |
|
25 |
25 |
$928.95 |
| 96161 |
|
326 |
320 |
$878.37 |
| 92567 |
|
13 |
13 |
$222.46 |
| G0008 |
Administration of influenza virus vaccine |
349 |
349 |
$214.20 |
| 81025 |
|
31 |
31 |
$103.31 |
| G0009 |
Administration of pneumococcal vaccine |
70 |
70 |
$35.70 |
| H0001 |
Alcohol and/or drug assessment |
341 |
341 |
$29.93 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
38 |
38 |
$9.07 |
| 3725F |
|
612 |
608 |
$0.00 |
| 3016F |
|
338 |
337 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
192 |
192 |
$0.00 |
| 3008F |
|
2,161 |
2,158 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
301 |
299 |
$0.00 |
| 1000F |
|
335 |
335 |
$0.00 |
| 99000 |
|
28 |
28 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |