| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,444 |
3,807 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,320 |
1,288 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,008 |
985 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,737 |
3,009 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,203 |
1,013 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
559 |
$50K |
| 99429 |
|
1,092 |
1,054 |
$35K |
| 87428 |
|
508 |
375 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
584 |
480 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,539 |
1,458 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
236 |
$11K |
| 90461 |
|
1,257 |
1,095 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
98 |
$5K |
| 92587 |
|
1,125 |
1,062 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
37 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
74 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
486 |
451 |
$2K |
| 0072A |
|
34 |
34 |
$1K |
| 0071A |
|
42 |
40 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
50 |
$1K |
| 0001A |
|
15 |
14 |
$518.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
644 |
585 |
$225.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$209.73 |
| 90686 |
|
934 |
880 |
$1.00 |
| 90688 |
|
479 |
455 |
$1.00 |
| 90677 |
|
34 |
32 |
$1.00 |
| 92551 |
|
18 |
18 |
$0.15 |
| 96127 |
|
531 |
476 |
$0.00 |
| 91307 |
|
95 |
83 |
$0.00 |
| 90680 |
|
487 |
478 |
$0.00 |
| 90744 |
|
85 |
83 |
$0.00 |
| 3008F |
|
80 |
72 |
$0.00 |
| 90698 |
|
172 |
170 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90697 |
|
385 |
374 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90670 |
|
829 |
803 |
$0.00 |
| 99072 |
|
7,760 |
6,488 |
$0.00 |
| 99177 |
|
931 |
865 |
$0.00 |
| 90633 |
|
249 |
237 |
$0.00 |
| 91300 |
|
23 |
16 |
$0.00 |
| 90710 |
|
248 |
233 |
$0.00 |
| 99173 |
|
170 |
162 |
$0.00 |
| 91308 |
|
20 |
19 |
$0.00 |
| 90700 |
|
15 |
12 |
$0.00 |