| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,387 |
3,988 |
$165K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
408 |
405 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
255 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
180 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
740 |
727 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
102 |
$3K |
| 97169 |
|
88 |
87 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
63 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
210 |
123 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90688 |
|
133 |
133 |
$585.76 |
| 81025 |
|
71 |
65 |
$509.58 |
| 99441 |
|
13 |
13 |
$334.73 |
| 90734 |
|
55 |
54 |
$270.06 |
| 90658 |
|
30 |
29 |
$196.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
14 |
$154.68 |
| 90715 |
|
28 |
28 |
$65.56 |
| 81003 |
|
13 |
13 |
$25.71 |
| 90674 |
|
14 |
14 |
$0.14 |
| 90651 |
|
26 |
26 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
700 |
696 |
$0.00 |
| 90672 |
|
15 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |