| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,778 |
3,252 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
977 |
862 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,767 |
1,519 |
$19K |
| 3008F |
|
2,006 |
1,822 |
$14K |
| 99173 |
|
876 |
792 |
$12K |
| 92551 |
|
914 |
826 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
141 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
131 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
197 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
501 |
473 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
145 |
$1K |
| 99000 |
|
379 |
328 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
33 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,268 |
1,124 |
$1K |
| 90686 |
|
253 |
231 |
$1K |
| 0072A |
|
24 |
16 |
$772.40 |
| 87081 |
|
97 |
86 |
$762.88 |
| 0071A |
|
22 |
17 |
$677.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$460.68 |
| 96127 |
|
120 |
113 |
$385.55 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
27 |
$258.06 |
| 90672 |
|
16 |
12 |
$241.52 |
| 36416 |
|
102 |
85 |
$191.95 |
| 81002 |
|
65 |
50 |
$140.23 |
| 90700 |
|
15 |
15 |
$49.65 |
| 99401 |
|
13 |
13 |
$9.48 |
| 91307 |
|
50 |
33 |
$0.08 |
| S9470 |
Nutritional counseling, dietitian visit |
991 |
903 |
$0.00 |
| 99072 |
|
509 |
396 |
$0.00 |
| 90461 |
|
39 |
37 |
$0.00 |
| 97802 |
|
16 |
15 |
$0.00 |