| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,576 |
1,482 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
853 |
844 |
$6K |
| 97803 |
|
1,184 |
1,176 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
168 |
164 |
$570.80 |
| 99406 |
|
1,170 |
1,164 |
$230.36 |
| 92551 |
|
170 |
170 |
$176.45 |
| 90686 |
|
187 |
183 |
$73.98 |
| 96127 |
|
54 |
54 |
$33.32 |
| 90670 |
|
12 |
12 |
$27.00 |
| 90671 |
|
13 |
13 |
$6.75 |
| 96161 |
|
14 |
14 |
$2.86 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
127 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
47 |
47 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |
| 99173 |
|
119 |
118 |
$0.00 |
| 4004F |
|
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
95 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
691 |
672 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
219 |
219 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$0.00 |
| 99070 |
|
17 |
15 |
$0.00 |