| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,441 |
3,202 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,752 |
1,686 |
$180K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
828 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,743 |
1,727 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
614 |
610 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
754 |
732 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
718 |
711 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
280 |
278 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
399 |
356 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
704 |
687 |
$10K |
| 96127 |
|
1,290 |
1,251 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$4K |
| 96160 |
|
587 |
586 |
$2K |
| 95012 |
|
28 |
28 |
$471.18 |
| 87807 |
|
12 |
12 |
$180.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$130.65 |
| 94760 |
|
12 |
12 |
$81.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,830 |
1,798 |
$76.50 |
| 99173 |
|
14 |
13 |
$57.24 |
| G8482 |
Influenza immunization administered or previously received |
445 |
443 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,155 |
1,099 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90686 |
|
410 |
408 |
$0.00 |
| 97802 |
|
35 |
34 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |