| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,207 |
3,063 |
$222K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,189 |
2,176 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
511 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
434 |
434 |
$41K |
| 92551 |
|
1,267 |
1,265 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
99 |
$5K |
| 96127 |
|
622 |
622 |
$3K |
| 0071A |
|
52 |
47 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
111 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
105 |
105 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
31 |
29 |
$825.52 |
| 99173 |
|
382 |
382 |
$813.62 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$396.00 |
| 90686 |
|
25 |
25 |
$54.35 |
| 96160 |
|
14 |
14 |
$30.28 |