| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,054 |
3,638 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,386 |
1,369 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,463 |
1,462 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,207 |
1,148 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
674 |
674 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
235 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
162 |
$5K |
| 99173 |
|
1,203 |
1,202 |
$4K |
| 92551 |
|
1,026 |
1,026 |
$4K |
| 96161 |
|
971 |
961 |
$4K |
| 99188 |
|
116 |
115 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
224 |
$2K |
| 90697 |
|
368 |
364 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
37 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
970 |
968 |
$1K |
| 87428 |
|
44 |
44 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$924.26 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$522.72 |
| 87807 |
|
17 |
17 |
$223.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$184.86 |
| 85018 |
|
71 |
71 |
$31.89 |
| 96127 |
|
132 |
132 |
$17.84 |
| 96160 |
|
287 |
287 |
$0.00 |
| 80061 |
Lipid panel |
67 |
67 |
$0.00 |
| 90648 |
|
232 |
232 |
$0.00 |
| 83655 |
|
851 |
851 |
$0.00 |
| 90710 |
|
65 |
65 |
$0.00 |
| 90633 |
|
351 |
349 |
$0.00 |
| 90670 |
|
595 |
595 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90686 |
|
251 |
250 |
$0.00 |
| 90680 |
|
678 |
673 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
87 |
87 |
$0.00 |
| 90677 |
|
416 |
409 |
$0.00 |
| 90723 |
|
111 |
111 |
$0.00 |