| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,915 |
5,561 |
$481K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,706 |
3,491 |
$433K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,981 |
1,951 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,642 |
1,623 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,057 |
1,035 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,019 |
3,742 |
$142K |
| 90461 |
|
2,018 |
1,931 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
577 |
565 |
$66K |
| 97802 |
|
1,259 |
1,187 |
$14K |
| H0049 |
Alcohol and/or drug screening |
626 |
611 |
$10K |
| 99188 |
|
128 |
126 |
$2K |
| 90686 |
|
692 |
688 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,228 |
1,720 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
141 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
94 |
$1K |
| 0072A |
|
17 |
13 |
$519.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$480.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
276 |
220 |
$403.80 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$361.44 |
| 90647 |
|
160 |
154 |
$180.05 |
| 90633 |
|
60 |
60 |
$108.04 |
| 90670 |
|
500 |
490 |
$72.03 |
| 96161 |
|
50 |
50 |
$63.57 |
| 81002 |
|
12 |
12 |
$30.69 |
| 90723 |
|
184 |
178 |
$24.01 |
| 85018 |
|
12 |
12 |
$23.85 |
| 90656 |
|
25 |
25 |
$18.13 |
| 99173 |
|
2,597 |
1,869 |
$0.00 |
| 99177 |
|
372 |
278 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
32 |
25 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 92551 |
|
4,313 |
3,042 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
358 |
253 |
$0.00 |
| 96127 |
|
323 |
261 |
$0.00 |
| 91307 |
|
23 |
18 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 36416 |
|
88 |
65 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |