| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,796 |
18,510 |
$787K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,196 |
4,683 |
$412K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,727 |
4,415 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,073 |
4,639 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,160 |
5,511 |
$309K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,367 |
3,160 |
$308K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,765 |
10,821 |
$277K |
| 99429 |
|
4,538 |
4,147 |
$113K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,824 |
7,813 |
$109K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,867 |
1,646 |
$92K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,194 |
1,072 |
$45K |
| 99460 |
|
762 |
587 |
$40K |
| 99462 |
|
807 |
592 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,336 |
1,211 |
$17K |
| 0071A |
|
248 |
230 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
116 |
$8K |
| 0001A |
|
193 |
170 |
$7K |
| 0072A |
|
137 |
128 |
$5K |
| 0002A |
|
123 |
119 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
732 |
447 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
27 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 0003A |
|
16 |
16 |
$696.00 |
| 99072 |
|
77 |
76 |
$690.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
44 |
$687.76 |
| 90688 |
|
3,423 |
3,162 |
$544.96 |
| 90473 |
|
40 |
38 |
$514.37 |
| 90734 |
|
450 |
434 |
$317.86 |
| 87807 |
|
25 |
20 |
$246.40 |
| 90619 |
|
186 |
173 |
$151.70 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,246 |
4,889 |
$17.60 |
| 92551 |
|
12 |
12 |
$11.78 |
| 91307 |
|
462 |
409 |
$0.80 |
| 36416 |
|
397 |
308 |
$0.00 |
| 90651 |
|
1,426 |
1,348 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
392 |
309 |
$0.00 |
| 90680 |
|
2,101 |
1,860 |
$0.00 |
| 90723 |
|
2,138 |
1,898 |
$0.00 |
| 90696 |
|
528 |
504 |
$0.00 |
| 90677 |
|
314 |
283 |
$0.00 |
| 90697 |
|
413 |
383 |
$0.00 |
| 90716 |
|
224 |
214 |
$0.00 |
| 90656 |
|
169 |
166 |
$0.00 |
| 90686 |
|
97 |
86 |
$0.00 |
| 90698 |
|
58 |
54 |
$0.00 |
| 90660 |
|
40 |
37 |
$0.00 |
| 90744 |
|
42 |
39 |
$0.00 |
| 90633 |
|
1,917 |
1,745 |
$0.00 |
| 90707 |
|
256 |
241 |
$0.00 |
| 90670 |
|
3,493 |
3,115 |
$0.00 |
| 90648 |
|
3,112 |
2,791 |
$0.00 |
| 90710 |
|
855 |
798 |
$0.00 |
| 90700 |
|
531 |
499 |
$0.00 |
| 96160 |
|
854 |
738 |
$0.00 |
| 90715 |
|
407 |
386 |
$0.00 |
| 91300 |
|
472 |
411 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90681 |
|
53 |
43 |
$0.00 |
| 1033F |
|
27 |
26 |
$0.00 |
| 91311 |
|
15 |
15 |
$0.00 |