| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,480 |
4,031 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,610 |
2,228 |
$48K |
| 87428 |
|
706 |
659 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
902 |
848 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
589 |
560 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
166 |
$8K |
| 92551 |
|
760 |
732 |
$8K |
| 90671 |
|
43 |
40 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
131 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
111 |
$6K |
| 90461 |
|
367 |
301 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
69 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
80 |
69 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
72 |
$2K |
| 90686 |
|
329 |
310 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
76 |
$943.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
122 |
120 |
$937.86 |
| 99177 |
|
230 |
223 |
$892.71 |
| 96127 |
|
185 |
180 |
$396.32 |
| 90674 |
|
28 |
27 |
$240.80 |
| 86580 |
|
60 |
57 |
$236.40 |
| 90670 |
|
27 |
26 |
$226.43 |
| 97802 |
|
866 |
844 |
$63.47 |
| 90661 |
|
77 |
77 |
$62.10 |
| 99000 |
|
17 |
17 |
$10.41 |
| 99406 |
|
75 |
74 |
$8.05 |
| 90677 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
113 |
108 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 99072 |
|
567 |
542 |
$0.00 |
| 90648 |
|
15 |
13 |
$0.00 |