| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,892 |
9,216 |
$634K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,946 |
1,891 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
857 |
831 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
807 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
815 |
784 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,622 |
2,519 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,385 |
2,341 |
$38K |
| 99177 |
|
2,416 |
2,369 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
593 |
576 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
878 |
851 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
92 |
92 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
112 |
$12K |
| 92551 |
|
970 |
935 |
$10K |
| 92558 |
|
821 |
814 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
175 |
173 |
$2K |
| 90473 |
|
63 |
63 |
$1K |
| 99000 |
|
451 |
407 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
33 |
$1K |
| 96127 |
|
205 |
204 |
$857.28 |
| 83655 |
|
51 |
51 |
$722.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$559.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$479.76 |
| 36416 |
|
42 |
42 |
$132.72 |
| 90671 |
|
64 |
64 |
$0.00 |
| 90461 |
|
251 |
246 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90672 |
|
33 |
33 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |
| 90686 |
|
491 |
489 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |