| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,797 |
5,534 |
$256K |
| S8301 |
Infection control supplies, not otherwise specified |
6,431 |
5,407 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
837 |
822 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
738 |
725 |
$69K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,020 |
923 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
458 |
441 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,481 |
1,453 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,630 |
1,771 |
$34K |
| 99429 |
|
295 |
268 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
516 |
502 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
70 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
532 |
503 |
$4K |
| 87807 |
|
352 |
334 |
$4K |
| 90461 |
|
471 |
369 |
$3K |
| 96160 |
|
1,915 |
1,878 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
37 |
$2K |
| 97169 |
|
56 |
52 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
62 |
$911.82 |
| 97803 |
|
753 |
715 |
$526.05 |
| 92587 |
|
108 |
108 |
$268.84 |
| 81002 |
|
25 |
24 |
$76.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,654 |
1,570 |
$0.50 |
| 90686 |
|
366 |
352 |
$0.10 |
| 90688 |
|
388 |
384 |
$0.09 |
| 90651 |
|
84 |
83 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90734 |
|
77 |
76 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99173 |
|
93 |
92 |
$0.00 |