| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,719 |
4,277 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
814 |
802 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
552 |
545 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
287 |
282 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,599 |
1,566 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
152 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,017 |
555 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
252 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
42 |
$2K |
| 90688 |
|
593 |
582 |
$901.00 |
| 90734 |
|
221 |
215 |
$730.30 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$610.96 |
| 90686 |
|
38 |
38 |
$500.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
24 |
$238.93 |
| 99050 |
|
14 |
13 |
$153.90 |
| 93000 |
|
13 |
13 |
$129.47 |
| 90658 |
|
22 |
22 |
$100.84 |
| 81025 |
|
15 |
12 |
$93.99 |
| 90674 |
|
13 |
13 |
$84.88 |
| 90715 |
|
59 |
59 |
$60.98 |
| 90474 |
|
14 |
13 |
$49.77 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,545 |
1,520 |
$3.77 |
| 90651 |
|
163 |
163 |
$0.03 |
| 1160F |
|
52 |
51 |
$0.00 |
| 90662 |
|
25 |
24 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 1159F |
|
38 |
38 |
$0.00 |
| 90672 |
|
18 |
14 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 1170F |
|
189 |
170 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
136 |
123 |
$0.00 |
| 1126F |
|
43 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$0.00 |