| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,779 |
11,982 |
$749K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,355 |
3,207 |
$322K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,333 |
1,310 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,261 |
1,251 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,987 |
2,884 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
915 |
892 |
$72K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
505 |
479 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
278 |
$21K |
| 90461 |
|
1,019 |
1,000 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
96 |
$9K |
| 99402 |
|
188 |
176 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
551 |
545 |
$7K |
| 99401 |
|
431 |
428 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
408 |
401 |
$4K |
| 90733 |
|
70 |
68 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
23 |
22 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
163 |
141 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$1K |
| 90671 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
17 |
12 |
$855.78 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
362 |
324 |
$740.00 |
| 90713 |
|
301 |
279 |
$699.38 |
| 97802 |
|
112 |
95 |
$536.84 |
| 83655 |
|
74 |
70 |
$453.95 |
| 99173 |
|
181 |
179 |
$373.02 |
| 90700 |
|
314 |
297 |
$368.63 |
| 36416 |
|
46 |
46 |
$352.70 |
| 90688 |
|
236 |
225 |
$313.41 |
| 90716 |
|
44 |
37 |
$310.22 |
| 90670 |
|
62 |
54 |
$230.82 |
| 90686 |
|
47 |
47 |
$198.99 |
| 90715 |
|
43 |
42 |
$187.35 |
| 90707 |
|
52 |
50 |
$179.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$168.47 |
| 90633 |
|
45 |
38 |
$73.84 |
| 90648 |
|
59 |
56 |
$0.00 |
| 99000 |
|
20 |
20 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |