| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,007 |
2,762 |
$89K |
| 99091 |
|
417 |
406 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
777 |
747 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
748 |
718 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
1,036 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,768 |
1,329 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
311 |
$23K |
| 99000 |
|
1,836 |
1,687 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
169 |
162 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
247 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
85 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
499 |
$6K |
| 90461 |
|
484 |
357 |
$3K |
| 81003 |
|
1,401 |
1,308 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
107 |
105 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
84 |
$2K |
| 81025 |
|
292 |
274 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
130 |
$1K |
| 94010 |
|
60 |
59 |
$937.25 |
| 96160 |
|
1,074 |
1,017 |
$886.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
79 |
$729.86 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$728.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$223.26 |
| 90658 |
|
237 |
229 |
$86.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
27 |
$2.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
276 |
264 |
$0.00 |
| 90648 |
|
27 |
25 |
$0.00 |
| 90734 |
|
100 |
98 |
$0.00 |
| 90713 |
|
96 |
90 |
$0.00 |
| 90700 |
|
203 |
194 |
$0.00 |
| 90670 |
|
28 |
26 |
$0.00 |
| 90707 |
|
33 |
32 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90651 |
|
116 |
111 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90716 |
|
44 |
42 |
$0.00 |