| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,930 |
4,227 |
$204K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,082 |
1,067 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,893 |
1,859 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
780 |
763 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
752 |
742 |
$49K |
| 99188 |
|
2,540 |
2,510 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
825 |
811 |
$25K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,514 |
2,482 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
291 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
220 |
209 |
$11K |
| 92587 |
|
2,431 |
2,397 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
189 |
187 |
$7K |
| 99383 |
|
31 |
31 |
$2K |
| 94010 |
|
59 |
57 |
$1K |
| 99384 |
|
15 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
64 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
119 |
$877.00 |
| 99382 |
|
12 |
12 |
$825.66 |
| 99401 |
|
305 |
302 |
$631.44 |
| 90710 |
|
120 |
120 |
$461.74 |
| 90670 |
|
299 |
292 |
$318.50 |
| 90651 |
|
258 |
250 |
$243.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
44 |
$241.12 |
| 99173 |
|
785 |
774 |
$225.06 |
| 81002 |
|
138 |
135 |
$110.93 |
| 90734 |
|
255 |
249 |
$87.58 |
| 90686 |
|
674 |
662 |
$71.61 |
| 69210 |
|
16 |
16 |
$61.68 |
| 97802 |
|
2,380 |
2,351 |
$0.00 |
| 90698 |
|
168 |
162 |
$0.00 |
| 90744 |
|
123 |
119 |
$0.00 |
| 99000 |
|
55 |
55 |
$0.00 |
| 90633 |
|
137 |
136 |
$0.00 |
| 90715 |
|
48 |
48 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |