| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,416 |
4,657 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,379 |
2,136 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
899 |
885 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
847 |
809 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,501 |
2,313 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,434 |
3,121 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,086 |
995 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
503 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,422 |
1,164 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,100 |
1,832 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
83 |
$8K |
| 90461 |
|
977 |
820 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
83 |
$1K |
| 92551 |
|
366 |
351 |
$340.58 |
| 90670 |
|
537 |
527 |
$222.41 |
| 96160 |
|
14 |
14 |
$21.96 |
| 90677 |
|
190 |
179 |
$0.25 |
| 90686 |
|
1,008 |
994 |
$0.24 |
| 90680 |
|
342 |
336 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
62 |
62 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 90656 |
|
140 |
140 |
$0.00 |
| 90697 |
|
112 |
110 |
$0.00 |
| 90723 |
|
104 |
102 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 99173 |
|
226 |
219 |
$0.00 |
| 90633 |
|
100 |
100 |
$0.00 |
| 90648 |
|
306 |
301 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99072 |
|
17 |
16 |
$0.00 |