| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,106 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
466 |
461 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
550 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,710 |
1,017 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
231 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
170 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
116 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
208 |
191 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
47 |
$4K |
| 90461 |
|
525 |
453 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
315 |
285 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
225 |
197 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
40 |
$1K |
| 92551 |
|
694 |
688 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
266 |
262 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
48 |
$709.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
83 |
$672.09 |
| 0071A |
|
12 |
12 |
$464.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$190.77 |
| 96127 |
|
207 |
196 |
$10.78 |
| 99072 |
|
125 |
112 |
$9.90 |
| 90688 |
|
118 |
115 |
$0.06 |
| 91307 |
|
12 |
12 |
$0.05 |
| 90686 |
|
160 |
160 |
$0.05 |
| 1031F |
|
2,948 |
2,742 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
13 |
13 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 99173 |
|
713 |
706 |
$0.00 |
| 90670 |
|
140 |
135 |
$0.00 |
| 90687 |
|
14 |
14 |
$0.00 |
| 90648 |
|
143 |
138 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90700 |
|
142 |
137 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 90713 |
|
41 |
41 |
$0.00 |