| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,853 |
5,413 |
$364K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,000 |
5,693 |
$240K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,616 |
1,457 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
988 |
938 |
$90K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,434 |
4,180 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
469 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
337 |
$33K |
| 99174 |
|
333 |
314 |
$5K |
| 90670 |
|
349 |
337 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
317 |
300 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
28 |
$3K |
| 90461 |
|
2,197 |
2,109 |
$2K |
| 0071A |
|
60 |
29 |
$2K |
| 99173 |
|
244 |
219 |
$2K |
| 90686 |
|
704 |
675 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
39 |
$1K |
| 0072A |
|
23 |
22 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
26 |
$828.12 |
| 90480 |
|
12 |
12 |
$741.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$609.84 |
| 90648 |
|
406 |
389 |
$481.49 |
| 92558 |
|
41 |
40 |
$383.07 |
| 96127 |
|
42 |
40 |
$333.86 |
| 90723 |
|
106 |
105 |
$214.60 |
| 90707 |
|
28 |
26 |
$197.10 |
| 90672 |
|
97 |
89 |
$180.91 |
| 99000 |
|
286 |
261 |
$177.82 |
| 90685 |
|
200 |
194 |
$93.64 |
| 90656 |
|
59 |
57 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 91307 |
|
95 |
64 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 90681 |
|
14 |
13 |
$0.00 |