| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,195 |
5,433 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,009 |
2,236 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,543 |
1,335 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,270 |
1,124 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,143 |
958 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,097 |
908 |
$58K |
| 97802 |
|
5,302 |
3,942 |
$45K |
| S8301 |
Infection control supplies, not otherwise specified |
3,197 |
2,642 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,430 |
1,923 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,803 |
2,381 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
631 |
508 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,571 |
1,633 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
702 |
508 |
$13K |
| 92567 |
|
1,455 |
1,288 |
$13K |
| 99000 |
|
1,622 |
1,249 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,188 |
1,535 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
321 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
311 |
233 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
25 |
$2K |
| 90474 |
|
295 |
246 |
$2K |
| 99381 |
|
30 |
28 |
$1K |
| 96160 |
|
346 |
270 |
$456.39 |
| 58301 |
|
31 |
24 |
$440.00 |
| 36416 |
|
83 |
57 |
$85.00 |
| 96161 |
|
47 |
42 |
$51.12 |
| 81002 |
|
20 |
14 |
$32.12 |
| 90658 |
|
269 |
236 |
$0.13 |
| 90715 |
|
58 |
48 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
306 |
274 |
$0.00 |
| 90670 |
|
876 |
709 |
$0.00 |
| 99173 |
|
3,695 |
2,722 |
$0.00 |
| 90734 |
|
130 |
106 |
$0.00 |
| 90681 |
|
300 |
250 |
$0.00 |
| 90633 |
|
170 |
130 |
$0.00 |
| 90648 |
|
232 |
190 |
$0.00 |
| 90710 |
|
50 |
45 |
$0.00 |
| 90697 |
|
51 |
43 |
$0.00 |
| 96127 |
|
112 |
105 |
$0.00 |
| 90723 |
|
103 |
85 |
$0.00 |
| 90696 |
|
32 |
29 |
$0.00 |