| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,037 |
6,231 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,881 |
1,762 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,637 |
1,609 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,513 |
1,491 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,501 |
1,395 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
591 |
586 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,333 |
2,296 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,289 |
3,225 |
$31K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
529 |
509 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
424 |
394 |
$6K |
| 90473 |
|
864 |
850 |
$5K |
| G9002 |
Coordinated care fee, maintenance rate |
83 |
79 |
$3K |
| 0071A |
|
35 |
35 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 96161 |
|
197 |
179 |
$777.42 |
| 98966 |
|
53 |
52 |
$451.16 |
| 96127 |
|
93 |
92 |
$266.64 |
| 98967 |
|
12 |
12 |
$166.32 |
| 90672 |
|
103 |
103 |
$136.22 |
| 81002 |
|
21 |
16 |
$20.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
54 |
$0.00 |
| 90698 |
|
505 |
491 |
$0.00 |
| 90680 |
|
468 |
456 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90744 |
|
191 |
185 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 91307 |
|
76 |
72 |
$0.00 |
| 90686 |
|
447 |
446 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90670 |
|
948 |
930 |
$0.00 |
| 90633 |
|
304 |
300 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91300 |
|
26 |
25 |
$0.00 |