| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,237 |
2,074 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,694 |
2,454 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
991 |
981 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
634 |
628 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,647 |
2,301 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
953 |
908 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,283 |
2,180 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
370 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,631 |
787 |
$22K |
| 92552 |
|
760 |
748 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,062 |
1,709 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
170 |
$15K |
| 99000 |
|
1,171 |
1,112 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
177 |
172 |
$7K |
| 90461 |
|
915 |
738 |
$6K |
| 0071A |
|
13 |
13 |
$520.00 |
| 0072A |
|
14 |
14 |
$480.00 |
| S9470 |
Nutritional counseling, dietitian visit |
43 |
43 |
$380.00 |
| 92551 |
|
24 |
24 |
$196.40 |
| 99174 |
|
51 |
51 |
$26.25 |
| 90686 |
|
503 |
491 |
$18.44 |
| 90671 |
|
46 |
45 |
$0.22 |
| 91307 |
|
48 |
40 |
$0.18 |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
17 |
$0.13 |
| 90672 |
|
40 |
40 |
$0.02 |
| 90633 |
|
184 |
183 |
$0.01 |
| 90670 |
|
386 |
380 |
$0.01 |
| 90734 |
|
40 |
33 |
$0.01 |
| 99173 |
|
784 |
772 |
$0.00 |
| 90648 |
|
152 |
147 |
$0.00 |
| 90710 |
|
112 |
109 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90715 |
|
36 |
29 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
49 |
49 |
$0.00 |
| 90656 |
|
70 |
69 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90680 |
|
54 |
54 |
$0.00 |
| 90651 |
|
32 |
30 |
$0.00 |