| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,204 |
14,586 |
$967K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,349 |
2,309 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,979 |
1,948 |
$246K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,571 |
1,451 |
$176K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,066 |
1,048 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,931 |
4,982 |
$102K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
894 |
875 |
$70K |
| 99401 |
|
2,747 |
2,694 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
169 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
735 |
709 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,009 |
963 |
$6K |
| 90461 |
|
288 |
283 |
$3K |
| 90716 |
|
418 |
408 |
$2K |
| 92551 |
|
3,539 |
3,332 |
$1K |
| 2015F |
|
364 |
348 |
$431.39 |
| 90670 |
|
1,036 |
1,008 |
$167.92 |
| 90686 |
|
1,326 |
1,289 |
$165.00 |
| 90707 |
|
409 |
399 |
$132.49 |
| 90713 |
|
1,297 |
1,255 |
$110.65 |
| 90700 |
|
1,683 |
1,634 |
$98.02 |
| 90680 |
|
522 |
502 |
$50.00 |
| 36416 |
|
104 |
98 |
$21.62 |
| 90734 |
|
175 |
174 |
$20.00 |
| 90651 |
|
268 |
264 |
$10.00 |
| 90648 |
|
1,126 |
1,094 |
$0.00 |
| 99173 |
|
3,014 |
2,822 |
$0.00 |
| 90633 |
|
526 |
518 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
106 |
104 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |
| 90671 |
|
28 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
425 |
408 |
$0.00 |
| 90744 |
|
242 |
231 |
$0.00 |
| 85018 |
|
106 |
101 |
$0.00 |
| 85013 |
|
15 |
13 |
$0.00 |