| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,529 |
3,400 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,278 |
2,166 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,012 |
4,723 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,106 |
6,522 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,105 |
2,912 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,124 |
2,038 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,160 |
1,106 |
$80K |
| 99000 |
|
5,511 |
5,181 |
$46K |
| 99381 |
|
622 |
499 |
$27K |
| 17250 |
|
483 |
380 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,004 |
2,632 |
$22K |
| 90461 |
|
3,862 |
3,060 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
995 |
959 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
804 |
775 |
$9K |
| 92551 |
|
2,717 |
2,593 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
155 |
$7K |
| 90677 |
|
349 |
338 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
103 |
$5K |
| 90651 |
|
350 |
343 |
$2K |
| 90670 |
|
1,658 |
1,559 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
110 |
$2K |
| 96160 |
|
1,048 |
992 |
$1K |
| 90686 |
|
1,617 |
1,469 |
$1K |
| 90671 |
|
267 |
254 |
$780.00 |
| 90734 |
|
269 |
255 |
$439.19 |
| 97169 |
|
65 |
61 |
$430.00 |
| 90672 |
|
410 |
388 |
$375.54 |
| 90620 |
|
61 |
54 |
$216.05 |
| 81002 |
|
56 |
55 |
$116.80 |
| 90707 |
|
276 |
254 |
$88.20 |
| 90633 |
|
1,295 |
1,247 |
$36.23 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,756 |
1,553 |
$27.60 |
| 99173 |
|
2,914 |
2,749 |
$7.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,912 |
2,713 |
$5.25 |
| 90696 |
|
327 |
314 |
$0.00 |
| 90697 |
|
1,211 |
1,126 |
$0.00 |
| 90680 |
|
1,290 |
1,212 |
$0.00 |
| 90716 |
|
244 |
230 |
$0.00 |
| 90723 |
|
364 |
359 |
$0.00 |
| 36416 |
|
164 |
146 |
$0.00 |
| 90647 |
|
444 |
438 |
$0.00 |
| 90660 |
|
67 |
67 |
$0.00 |
| 90656 |
|
118 |
117 |
$0.00 |
| 90710 |
|
581 |
560 |
$0.00 |
| 90700 |
|
434 |
417 |
$0.00 |
| 90715 |
|
45 |
43 |
$0.00 |
| 90681 |
|
59 |
47 |
$0.00 |
| 90648 |
|
161 |
157 |
$0.00 |
| 99072 |
|
147 |
141 |
$0.00 |