| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,822 |
4,360 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,246 |
1,243 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
772 |
746 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
910 |
908 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,477 |
2,455 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
788 |
768 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
327 |
327 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,922 |
1,851 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,902 |
1,899 |
$17K |
| 92551 |
|
1,918 |
1,914 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
753 |
717 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
227 |
$10K |
| 92081 |
|
440 |
440 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
182 |
175 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$4K |
| 81002 |
|
830 |
829 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90474 |
|
13 |
13 |
$170.02 |
| 99173 |
|
645 |
642 |
$0.00 |
| 90670 |
|
203 |
203 |
$0.00 |
| 90700 |
|
74 |
74 |
$0.00 |
| 90633 |
|
59 |
59 |
$0.00 |
| 90461 |
|
53 |
53 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90686 |
|
290 |
288 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
134 |
134 |
$0.00 |
| 90698 |
|
151 |
151 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90619 |
|
15 |
14 |
$0.00 |
| 90744 |
|
42 |
42 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |