| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,861 |
2,444 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,322 |
1,199 |
$121K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,868 |
1,837 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
338 |
336 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
204 |
204 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,311 |
1,225 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
745 |
686 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
135 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
65 |
63 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
536 |
284 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
166 |
162 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 87428 |
|
64 |
64 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
24 |
$1K |
| 85018 |
|
627 |
616 |
$846.85 |
| 92551 |
|
129 |
129 |
$760.77 |
| 87807 |
|
70 |
70 |
$726.32 |
| 36416 |
|
172 |
160 |
$691.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
60 |
$530.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$457.41 |
| 81003 |
|
140 |
125 |
$212.66 |
| 96127 |
|
32 |
32 |
$32.71 |
| 1003F |
|
965 |
959 |
$0.00 |
| 99173 |
|
241 |
241 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
30 |
$0.00 |
| 90461 |
|
30 |
30 |
$0.00 |
| 90686 |
|
287 |
286 |
$0.00 |
| 94760 |
|
463 |
360 |
$0.00 |
| 2001F |
|
1,042 |
1,033 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
29 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |