| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,279 |
1,726 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
915 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
819 |
691 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
71 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
900 |
532 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$4K |
| 90461 |
|
292 |
254 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
112 |
$2K |
| 97803 |
|
824 |
772 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
128 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
89 |
$604.49 |
| 92558 |
|
202 |
181 |
$537.05 |
| 99051 |
|
191 |
172 |
$319.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$23.86 |
| 96160 |
|
111 |
107 |
$5.30 |
| 96127 |
|
36 |
36 |
$4.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
256 |
218 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
427 |
388 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
656 |
578 |
$0.00 |
| 97802 |
|
30 |
28 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 99177 |
|
564 |
493 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
198 |
177 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |