| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,310 |
6,302 |
$270K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,548 |
1,503 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,496 |
1,480 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,860 |
3,092 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
882 |
875 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
865 |
836 |
$67K |
| 99429 |
|
743 |
734 |
$25K |
| 92553 |
|
2,429 |
2,381 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
222 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,243 |
890 |
$11K |
| 90671 |
|
444 |
438 |
$11K |
| 90461 |
|
1,942 |
1,747 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
212 |
206 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
220 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
509 |
491 |
$6K |
| 90670 |
|
701 |
695 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
96 |
$3K |
| 90681 |
|
368 |
365 |
$2K |
| 96160 |
|
914 |
892 |
$1K |
| 90710 |
|
150 |
150 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99173 |
|
2,720 |
2,652 |
$1K |
| 90647 |
|
784 |
777 |
$781.26 |
| 90633 |
|
339 |
335 |
$754.95 |
| 83655 |
|
90 |
90 |
$739.51 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
30 |
30 |
$675.00 |
| 90723 |
|
797 |
788 |
$574.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$554.04 |
| 90686 |
|
617 |
613 |
$352.79 |
| 92551 |
|
209 |
209 |
$324.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$318.48 |
| 90656 |
|
144 |
144 |
$240.90 |
| 87807 |
|
12 |
12 |
$110.00 |
| 85018 |
|
13 |
13 |
$4.83 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |