| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,684 |
7,250 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,083 |
2,985 |
$231K |
| 99051 |
|
5,096 |
4,964 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,472 |
1,471 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,143 |
1,136 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
963 |
957 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
540 |
540 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,186 |
1,170 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
207 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
188 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$6K |
| 90686 |
|
977 |
933 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
86 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
43 |
$1K |
| 92551 |
|
1,181 |
1,178 |
$810.26 |
| 87428 |
|
34 |
34 |
$786.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,127 |
1,126 |
$713.58 |
| 99177 |
|
1,207 |
1,205 |
$709.67 |
| 85018 |
|
554 |
549 |
$544.57 |
| 99188 |
|
27 |
27 |
$534.60 |
| 90648 |
|
739 |
721 |
$430.00 |
| 90670 |
|
417 |
399 |
$418.00 |
| 96127 |
|
757 |
756 |
$349.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$311.53 |
| 96160 |
|
758 |
757 |
$304.19 |
| 80061 |
Lipid panel |
75 |
75 |
$231.07 |
| 90723 |
|
474 |
473 |
$165.00 |
| 90680 |
|
335 |
335 |
$0.00 |
| 96161 |
|
640 |
636 |
$0.00 |
| 90677 |
|
345 |
345 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
373 |
369 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90633 |
|
243 |
243 |
$0.00 |
| G9920 |
Screening performed and negative |
1,033 |
1,033 |
$0.00 |
| 83655 |
|
207 |
207 |
$0.00 |
| 90661 |
|
194 |
194 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |