| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,555 |
8,940 |
$382K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,356 |
3,238 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,754 |
2,640 |
$205K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,193 |
5,473 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,209 |
1,948 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,114 |
1,085 |
$95K |
| 99381 |
|
526 |
502 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,978 |
2,690 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
344 |
335 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,218 |
1,154 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,201 |
814 |
$16K |
| 90461 |
|
3,693 |
3,166 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
144 |
$14K |
| 92558 |
|
3,066 |
2,951 |
$12K |
| 99000 |
|
1,186 |
1,121 |
$11K |
| 99383 |
|
83 |
78 |
$7K |
| 90671 |
|
968 |
934 |
$7K |
| 99382 |
|
86 |
81 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
102 |
101 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
379 |
358 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 87807 |
|
171 |
164 |
$2K |
| 96160 |
|
344 |
324 |
$612.35 |
| 90686 |
|
1,114 |
1,098 |
$179.55 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
108 |
105 |
$0.09 |
| 90681 |
|
881 |
834 |
$0.07 |
| 90670 |
|
1,430 |
1,368 |
$0.01 |
| 90648 |
|
2,255 |
2,167 |
$0.01 |
| 90633 |
|
1,399 |
1,350 |
$0.01 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
25 |
25 |
$0.00 |
| 90707 |
|
502 |
483 |
$0.00 |
| 1033F |
|
7,548 |
5,974 |
$0.00 |
| 90700 |
|
437 |
432 |
$0.00 |
| 99177 |
|
2,767 |
2,666 |
$0.00 |
| 1032F |
|
349 |
314 |
$0.00 |
| 90710 |
|
180 |
176 |
$0.00 |
| 90734 |
|
29 |
24 |
$0.00 |
| 90723 |
|
1,728 |
1,646 |
$0.00 |
| 90680 |
|
293 |
287 |
$0.00 |
| 90651 |
|
35 |
30 |
$0.00 |
| 90716 |
|
485 |
466 |
$0.00 |
| 90696 |
|
173 |
172 |
$0.00 |
| 90698 |
|
118 |
116 |
$0.00 |
| 96161 |
|
37 |
37 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |