| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,482 |
1,277 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
379 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
785 |
727 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
134 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
127 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
97 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
76 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
698 |
465 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
258 |
$6K |
| 90461 |
|
189 |
160 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
198 |
147 |
$806.87 |
| 99051 |
|
189 |
160 |
$632.69 |
| 99188 |
|
74 |
63 |
$608.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
52 |
$455.40 |
| 90700 |
|
137 |
126 |
$324.03 |
| 97803 |
|
459 |
438 |
$289.62 |
| 90685 |
|
21 |
14 |
$72.01 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$51.33 |
| S9451 |
Exercise classes, non-physician provider, per session |
383 |
361 |
$0.00 |
| 96127 |
|
70 |
63 |
$0.00 |
| 90744 |
|
46 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
88 |
78 |
$0.00 |
| 90651 |
|
19 |
19 |
$0.00 |
| 90686 |
|
139 |
128 |
$0.00 |
| 97802 |
|
26 |
24 |
$0.00 |
| 90680 |
|
49 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
21 |
$0.00 |
| 90716 |
|
44 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
225 |
215 |
$0.00 |
| 90633 |
|
57 |
54 |
$0.00 |
| 99173 |
|
184 |
169 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
23 |
21 |
$0.00 |
| 90648 |
|
67 |
65 |
$0.00 |
| 90713 |
|
94 |
92 |
$0.00 |
| 90670 |
|
60 |
58 |
$0.00 |
| 90707 |
|
42 |
41 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
14 |
$0.00 |
| 90734 |
|
15 |
12 |
$0.00 |
| 94060 |
|
14 |
13 |
$0.00 |
| 96160 |
|
36 |
29 |
$0.00 |