| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,420 |
1,213 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
457 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
648 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
289 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,377 |
701 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
444 |
405 |
$17K |
| 99383 |
|
157 |
151 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
881 |
405 |
$12K |
| 99382 |
|
121 |
119 |
$10K |
| 99381 |
|
112 |
102 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
878 |
666 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
254 |
$4K |
| 92551 |
|
449 |
442 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
31 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
439 |
398 |
$1K |
| 87807 |
|
110 |
101 |
$1K |
| 90677 |
|
132 |
130 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$451.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
76 |
$260.78 |
| 85018 |
|
132 |
130 |
$200.99 |
| 96160 |
|
89 |
87 |
$76.95 |
| 99188 |
|
536 |
520 |
$43.75 |
| 99173 |
|
439 |
425 |
$0.00 |
| 90700 |
|
86 |
85 |
$0.00 |
| 90671 |
|
43 |
43 |
$0.00 |
| 90648 |
|
93 |
92 |
$0.00 |
| 90633 |
|
60 |
60 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 96127 |
|
101 |
99 |
$0.00 |
| 36416 |
|
263 |
260 |
$0.00 |
| 90697 |
|
53 |
53 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |