| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,147 |
3,699 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
776 |
735 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
540 |
532 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
505 |
494 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
387 |
352 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
243 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
699 |
668 |
$13K |
| 99188 |
|
916 |
845 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
241 |
220 |
$7K |
| H0049 |
Alcohol and/or drug screening |
231 |
213 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
404 |
235 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
198 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
70 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$621.55 |
| 97802 |
|
943 |
817 |
$535.00 |
| 85018 |
|
456 |
424 |
$456.79 |
| 83655 |
|
52 |
47 |
$313.74 |
| 90461 |
|
51 |
50 |
$168.00 |
| 90686 |
|
14 |
14 |
$100.66 |
| 84703 |
|
18 |
13 |
$80.12 |
| 92551 |
|
929 |
758 |
$5.82 |
| 90700 |
|
114 |
98 |
$2.00 |
| 90716 |
|
19 |
13 |
$2.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
426 |
357 |
$2.00 |
| 99173 |
|
1,085 |
901 |
$0.00 |
| 90713 |
|
53 |
52 |
$0.00 |
| 90648 |
|
33 |
25 |
$0.00 |
| 90671 |
|
13 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
840 |
693 |
$0.00 |