| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,895 |
6,304 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
452 |
$10K |
| 92552 |
|
833 |
828 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
288 |
$4K |
| 85018 |
|
884 |
879 |
$1K |
| 92060 |
|
745 |
740 |
$1K |
| 90620 |
|
90 |
90 |
$424.00 |
| 90734 |
|
109 |
109 |
$378.00 |
| 92551 |
|
428 |
428 |
$294.45 |
| 90686 |
|
98 |
98 |
$270.00 |
| 90651 |
|
45 |
45 |
$243.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$222.12 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
25 |
$176.65 |
| 90674 |
|
14 |
14 |
$117.00 |
| 81000 |
|
373 |
373 |
$101.77 |
| 83655 |
|
49 |
49 |
$84.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$49.90 |
| 86580 |
|
52 |
51 |
$33.30 |
| 90649 |
|
75 |
75 |
$18.00 |
| 99173 |
|
12 |
12 |
$11.40 |
| 90672 |
|
14 |
14 |
$9.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
669 |
664 |
$2.00 |
| 3008F |
|
647 |
642 |
$0.00 |
| 90657 |
|
345 |
345 |
$0.00 |
| 97802 |
|
492 |
492 |
$0.00 |
| 85032 |
|
471 |
471 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
492 |
492 |
$0.00 |
| 99172 |
|
401 |
401 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
29 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
492 |
492 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
675 |
670 |
$0.00 |
| 99401 |
|
492 |
492 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |