| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,808 |
6,500 |
$209K |
| 87428 |
|
2,279 |
2,060 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,046 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,114 |
1,104 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
848 |
828 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,134 |
2,745 |
$64K |
| S8301 |
Infection control supplies, not otherwise specified |
1,980 |
1,800 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
746 |
708 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,138 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
883 |
831 |
$38K |
| 99429 |
|
1,080 |
1,069 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,422 |
1,391 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
704 |
674 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
797 |
769 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,000 |
738 |
$8K |
| 90461 |
|
702 |
613 |
$5K |
| 0071A |
|
79 |
69 |
$3K |
| 92587 |
|
493 |
463 |
$3K |
| 0072A |
|
56 |
55 |
$2K |
| 96161 |
|
874 |
852 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
64 |
$712.38 |
| 83655 |
|
55 |
55 |
$572.91 |
| 0081A |
|
12 |
12 |
$480.00 |
| 99000 |
|
94 |
91 |
$452.51 |
| 90686 |
|
464 |
460 |
$324.76 |
| 86580 |
|
30 |
29 |
$222.36 |
| 92552 |
|
12 |
12 |
$202.08 |
| 92567 |
|
13 |
13 |
$134.70 |
| 90473 |
|
16 |
16 |
$125.44 |
| 82570 |
|
45 |
27 |
$87.00 |
| 90688 |
|
298 |
294 |
$36.14 |
| 90651 |
|
29 |
29 |
$0.08 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
149 |
147 |
$0.03 |
| 90672 |
|
120 |
119 |
$0.02 |
| 90677 |
|
27 |
27 |
$0.02 |
| 90700 |
|
736 |
730 |
$0.00 |
| 90670 |
|
441 |
436 |
$0.00 |
| 90713 |
|
498 |
493 |
$0.00 |
| 90633 |
|
88 |
82 |
$0.00 |
| 90648 |
|
470 |
465 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 90710 |
|
82 |
81 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99173 |
|
43 |
42 |
$0.00 |
| 99051 |
|
15 |
14 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90680 |
|
178 |
175 |
$0.00 |
| 3008F |
|
149 |
147 |
$0.00 |
| 36416 |
|
45 |
42 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |