| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,154 |
11,302 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,347 |
1,408 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,625 |
1,427 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,096 |
1,236 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,746 |
802 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,539 |
3,241 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,922 |
979 |
$35K |
| 87428 |
|
805 |
458 |
$19K |
| 99188 |
|
1,756 |
1,224 |
$12K |
| 90461 |
|
2,955 |
1,583 |
$11K |
| 92568 |
|
3,119 |
1,855 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
789 |
566 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
96 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
802 |
342 |
$3K |
| 87430 |
|
543 |
511 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
235 |
$3K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
926 |
703 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
310 |
284 |
$2K |
| 97802 |
|
1,782 |
344 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 81002 |
|
1,149 |
980 |
$1K |
| 90670 |
|
1,128 |
488 |
$885.15 |
| 99354 |
|
55 |
50 |
$850.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,240 |
2,146 |
$841.73 |
| 85018 |
|
1,279 |
1,022 |
$769.43 |
| 96127 |
|
1,301 |
941 |
$439.96 |
| 90710 |
|
92 |
50 |
$420.33 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,364 |
263 |
$365.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
28 |
$354.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
69 |
66 |
$352.72 |
| 87807 |
|
26 |
26 |
$195.00 |
| 90700 |
|
13 |
12 |
$180.00 |
| 90633 |
|
256 |
95 |
$167.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
519 |
103 |
$146.01 |
| 90686 |
|
68 |
61 |
$128.00 |
| 92551 |
|
1,381 |
1,151 |
$122.00 |
| 83655 |
|
61 |
53 |
$105.81 |
| D0190 |
|
81 |
79 |
$54.34 |
| 99173 |
|
5,514 |
3,502 |
$46.58 |
| 92587 |
|
114 |
18 |
$43.52 |
| 96160 |
|
137 |
133 |
$5.76 |
| 90651 |
|
375 |
117 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |
| 90688 |
|
314 |
214 |
$0.00 |
| 36416 |
|
208 |
186 |
$0.00 |
| 94760 |
|
62 |
61 |
$0.00 |
| 3008F |
|
69 |
68 |
$0.00 |
| 90647 |
|
260 |
127 |
$0.00 |
| 90723 |
|
543 |
223 |
$0.00 |
| 90619 |
|
21 |
21 |
$0.00 |
| 81001 |
|
34 |
30 |
$0.00 |
| 90620 |
|
70 |
15 |
$0.00 |
| 91300 |
|
105 |
28 |
$0.00 |
| 90734 |
|
218 |
62 |
$0.00 |
| 90681 |
|
147 |
38 |
$0.00 |
| 90715 |
|
57 |
15 |
$0.00 |