| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,013 |
2,658 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,239 |
1,202 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,088 |
1,049 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
585 |
537 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
390 |
384 |
$38K |
| 99051 |
|
375 |
362 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
74 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
60 |
$2K |
| 90670 |
|
331 |
328 |
$1K |
| 90686 |
|
439 |
405 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68 |
67 |
$1K |
| 90648 |
|
484 |
464 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
41 |
$487.54 |
| 90723 |
|
261 |
246 |
$480.00 |
| 90680 |
|
151 |
147 |
$432.00 |
| 90633 |
|
54 |
53 |
$264.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
838 |
671 |
$119.46 |
| 96127 |
|
192 |
190 |
$70.00 |
| 96160 |
|
191 |
189 |
$53.95 |
| 92551 |
|
259 |
247 |
$50.40 |
| 85018 |
|
34 |
32 |
$3.55 |
| G9920 |
Screening performed and negative |
693 |
639 |
$0.00 |
| 90661 |
|
84 |
83 |
$0.00 |
| 99177 |
|
85 |
76 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
67 |
$0.00 |
| 96161 |
|
602 |
571 |
$0.00 |
| 90677 |
|
180 |
164 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |