| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,199 |
5,345 |
$219K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
849 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
799 |
770 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
768 |
745 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,484 |
1,937 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
553 |
520 |
$39K |
| 90461 |
|
1,043 |
868 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
110 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
328 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
122 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
361 |
263 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
113 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
195 |
189 |
$2K |
| 97169 |
|
62 |
60 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
93 |
$1K |
| 99072 |
|
1,101 |
1,005 |
$333.00 |
| 90651 |
|
218 |
212 |
$244.88 |
| 90686 |
|
505 |
473 |
$18.03 |
| 90734 |
|
77 |
76 |
$0.11 |
| 90633 |
|
89 |
86 |
$0.09 |
| 90670 |
|
416 |
409 |
$0.08 |
| 90619 |
|
23 |
19 |
$0.07 |
| 90707 |
|
103 |
102 |
$0.07 |
| 90716 |
|
105 |
104 |
$0.04 |
| 90648 |
|
115 |
115 |
$0.01 |
| 90698 |
|
53 |
53 |
$0.00 |
| 90680 |
|
234 |
231 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
81 |
75 |
$0.00 |
| 90696 |
|
16 |
15 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
80 |
75 |
$0.00 |
| 90660 |
|
60 |
55 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90685 |
|
115 |
115 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
14 |
14 |
$0.00 |
| 90715 |
|
39 |
37 |
$0.00 |
| 3210F |
|
218 |
204 |
$0.00 |