| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,058 |
5,391 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,613 |
3,359 |
$376K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,889 |
3,619 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,464 |
1,391 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,357 |
1,326 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,335 |
3,154 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,457 |
1,318 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
735 |
729 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,112 |
2,988 |
$48K |
| 99401 |
|
1,783 |
1,766 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
713 |
356 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
659 |
529 |
$7K |
| 99429 |
|
579 |
345 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
187 |
158 |
$7K |
| 96127 |
|
1,240 |
1,232 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
104 |
99 |
$4K |
| 81002 |
|
1,068 |
1,051 |
$3K |
| 90671 |
|
99 |
93 |
$3K |
| 99406 |
|
1,041 |
1,001 |
$3K |
| 96161 |
|
758 |
692 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 96160 |
|
1,669 |
1,579 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$796.04 |
| 94760 |
|
57 |
53 |
$458.42 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
847 |
819 |
$74.70 |
| 5250F |
|
44 |
38 |
$31.50 |
| 97802 |
|
596 |
575 |
$15.63 |
| 90677 |
|
30 |
25 |
$10.00 |
| 90670 |
|
976 |
877 |
$0.00 |
| 90633 |
|
92 |
84 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 90700 |
|
25 |
24 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |
| 90688 |
|
247 |
237 |
$0.00 |
| 90647 |
|
166 |
148 |
$0.00 |
| 90680 |
|
369 |
331 |
$0.00 |
| 90686 |
|
360 |
343 |
$0.00 |
| 90651 |
|
89 |
83 |
$0.00 |
| 90656 |
|
82 |
50 |
$0.00 |
| 90697 |
|
14 |
12 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |