| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,690 |
7,851 |
$338K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,453 |
1,399 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,296 |
1,200 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,063 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
712 |
679 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
421 |
407 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,259 |
3,081 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,070 |
1,955 |
$34K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
476 |
448 |
$16K |
| 97802 |
|
4,580 |
4,249 |
$10K |
| 99381 |
|
85 |
85 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,536 |
2,289 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,421 |
2,273 |
$3K |
| 92551 |
|
1,799 |
1,713 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
599 |
262 |
$2K |
| 85018 |
|
3,295 |
3,095 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90670 |
|
938 |
903 |
$896.81 |
| 81003 |
|
2,037 |
1,893 |
$881.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
205 |
178 |
$801.44 |
| 99173 |
|
2,128 |
2,021 |
$600.88 |
| 99188 |
|
279 |
247 |
$600.51 |
| 96127 |
|
307 |
290 |
$80.14 |
| 90633 |
|
314 |
298 |
$10.00 |
| 99000 |
|
69 |
59 |
$0.00 |
| 90686 |
|
370 |
360 |
$0.00 |
| 90647 |
|
329 |
325 |
$0.00 |
| 90697 |
|
197 |
192 |
$0.00 |
| 90723 |
|
257 |
252 |
$0.00 |
| 90680 |
|
589 |
580 |
$0.00 |
| 90651 |
|
105 |
99 |
$0.00 |
| 81000 |
|
244 |
238 |
$0.00 |
| 90677 |
|
77 |
75 |
$0.00 |
| 90716 |
|
44 |
41 |
$0.00 |
| 90707 |
|
44 |
42 |
$0.00 |
| 90700 |
|
25 |
24 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |