| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,968 |
3,592 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,126 |
2,372 |
$183K |
| 99401 |
|
1,694 |
1,431 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
417 |
352 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
355 |
263 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
166 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,086 |
937 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
98 |
$6K |
| 99188 |
|
467 |
426 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
174 |
$4K |
| 97802 |
|
335 |
277 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
347 |
262 |
$950.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$942.68 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$730.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
130 |
$560.00 |
| 85018 |
|
1,050 |
891 |
$525.21 |
| 97803 |
|
28 |
28 |
$376.92 |
| 81003 |
|
433 |
346 |
$291.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
344 |
321 |
$258.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
58 |
$158.72 |
| 94760 |
|
1,383 |
1,203 |
$132.34 |
| 90686 |
|
246 |
217 |
$113.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
294 |
212 |
$105.86 |
| 90461 |
|
41 |
38 |
$72.00 |
| 83655 |
|
12 |
12 |
$59.50 |
| 96160 |
|
733 |
605 |
$30.47 |
| 3008F |
|
902 |
768 |
$20.00 |
| 99177 |
|
299 |
247 |
$11.62 |
| 96161 |
|
18 |
13 |
$2.71 |
| 96127 |
|
176 |
134 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 36416 |
|
269 |
215 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90670 |
|
43 |
39 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90633 |
|
16 |
12 |
$0.00 |