| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
2,804 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,327 |
2,262 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
813 |
810 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,523 |
1,318 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
463 |
448 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
227 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
146 |
$6K |
| 99188 |
|
532 |
528 |
$6K |
| 97802 |
|
1,014 |
991 |
$4K |
| 99383 |
|
16 |
16 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
850 |
720 |
$1K |
| 96160 |
|
656 |
592 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
50 |
$781.44 |
| 90633 |
|
172 |
167 |
$672.08 |
| 90686 |
|
260 |
260 |
$603.39 |
| 92551 |
|
474 |
354 |
$493.32 |
| 90648 |
|
286 |
284 |
$427.52 |
| 96127 |
|
183 |
178 |
$365.79 |
| 90700 |
|
596 |
591 |
$254.56 |
| 86580 |
|
30 |
29 |
$77.25 |
| 90670 |
|
326 |
321 |
$50.00 |
| 90713 |
|
298 |
296 |
$31.97 |
| 90685 |
|
14 |
14 |
$10.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 99174 |
|
608 |
478 |
$0.00 |
| 90680 |
|
79 |
79 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 99173 |
|
177 |
128 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |