| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,203 |
2,931 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
604 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
370 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
352 |
340 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
300 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
865 |
773 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
182 |
$14K |
| 99188 |
|
610 |
571 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
326 |
307 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
924 |
515 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
154 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
191 |
$1K |
| 87807 |
|
164 |
144 |
$833.36 |
| 83655 |
|
109 |
101 |
$599.27 |
| 97802 |
|
502 |
433 |
$274.50 |
| 85018 |
|
293 |
264 |
$256.66 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$166.94 |
| 90461 |
|
187 |
154 |
$150.61 |
| 99173 |
|
850 |
698 |
$1.00 |
| 92551 |
|
745 |
609 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
270 |
208 |
$0.50 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90700 |
|
132 |
120 |
$0.00 |
| 90713 |
|
41 |
36 |
$0.00 |
| 90648 |
|
26 |
24 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
527 |
437 |
$0.00 |
| 90651 |
|
21 |
16 |
$0.00 |