| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,681 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
533 |
530 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
489 |
485 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
493 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
220 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
144 |
$14K |
| 90686 |
|
552 |
450 |
$4K |
| 92552 |
|
935 |
930 |
$4K |
| 99188 |
|
173 |
173 |
$3K |
| 99173 |
|
658 |
657 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
84 |
$2K |
| 90670 |
|
243 |
221 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
75 |
72 |
$911.52 |
| 90723 |
|
139 |
122 |
$803.00 |
| 99177 |
|
238 |
235 |
$748.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
351 |
350 |
$638.32 |
| 90647 |
|
113 |
99 |
$605.00 |
| 96161 |
|
147 |
147 |
$551.52 |
| 99174 |
|
187 |
187 |
$386.40 |
| 90681 |
|
28 |
28 |
$308.00 |
| 90710 |
|
48 |
48 |
$264.00 |
| 96127 |
|
263 |
262 |
$250.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$195.00 |
| 90651 |
|
36 |
36 |
$132.00 |
| 81002 |
|
29 |
29 |
$105.56 |
| 96160 |
|
234 |
233 |
$7.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
100 |
100 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
25 |
$0.00 |
| 90734 |
|
48 |
42 |
$0.00 |
| 83655 |
|
97 |
97 |
$0.00 |
| 80061 |
Lipid panel |
48 |
48 |
$0.00 |