| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,596 |
5,781 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,271 |
1,253 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,148 |
1,106 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,896 |
3,623 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,444 |
2,268 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,169 |
2,968 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
402 |
402 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
637 |
600 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,951 |
2,854 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,095 |
514 |
$15K |
| 90461 |
|
1,418 |
1,280 |
$9K |
| 87428 |
|
98 |
97 |
$8K |
| 87807 |
|
261 |
252 |
$3K |
| 97802 |
|
1,008 |
995 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$620.85 |
| 99429 |
|
12 |
12 |
$450.00 |
| 90671 |
|
209 |
202 |
$216.06 |
| 96160 |
|
245 |
245 |
$194.73 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$175.86 |
| 90686 |
|
577 |
575 |
$4.16 |
| 90734 |
|
14 |
14 |
$1.00 |
| 90677 |
|
54 |
54 |
$0.01 |
| 90670 |
|
575 |
573 |
$0.00 |
| 90633 |
|
58 |
58 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90680 |
|
441 |
439 |
$0.00 |
| 90698 |
|
421 |
418 |
$0.00 |
| 90656 |
|
148 |
148 |
$0.00 |
| 90744 |
|
109 |
109 |
$0.00 |