| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,569 |
49,625 |
$2.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,637 |
9,389 |
$772K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,975 |
8,748 |
$689K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64,460 |
24,487 |
$683K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,091 |
2,760 |
$158K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,356 |
6,412 |
$77K |
| 90461 |
|
9,399 |
8,543 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,347 |
1,267 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
336 |
$29K |
| 99381 |
|
379 |
369 |
$28K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,085 |
2,067 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
120 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
840 |
793 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
154 |
$9K |
| 99072 |
|
10,077 |
9,178 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
309 |
308 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
36 |
$2K |
| 92551 |
|
192 |
185 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87807 |
|
97 |
96 |
$1K |
| 99000 |
|
68 |
64 |
$632.88 |
| 90688 |
|
3,020 |
2,974 |
$607.00 |
| 0071A |
|
14 |
13 |
$490.52 |
| CP002 |
|
48 |
45 |
$470.40 |
| 90671 |
|
2,189 |
2,109 |
$301.52 |
| 96380 |
|
13 |
13 |
$230.98 |
| 90670 |
|
5,147 |
5,093 |
$158.00 |
| 96160 |
|
67 |
63 |
$144.02 |
| 90633 |
|
1,929 |
1,910 |
$79.00 |
| 90680 |
|
3,800 |
3,751 |
$79.00 |
| 90744 |
|
1,212 |
1,195 |
$47.00 |
| 90698 |
|
2,600 |
2,572 |
$45.90 |
| 90707 |
|
186 |
185 |
$10.00 |
| 90648 |
|
92 |
92 |
$3.00 |
| 90686 |
|
1,822 |
1,783 |
$3.00 |
| 90700 |
|
93 |
91 |
$0.54 |
| 4124F |
|
193 |
184 |
$0.00 |
| 99177 |
|
1,942 |
1,912 |
$0.00 |
| 1160F |
|
126 |
115 |
$0.00 |
| 99173 |
|
577 |
562 |
$0.00 |
| 90658 |
|
209 |
209 |
$0.00 |
| 1159F |
|
129 |
118 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
98 |
98 |
$0.00 |
| 91308 |
|
24 |
24 |
$0.00 |
| 2001F |
|
380 |
361 |
$0.00 |
| 90697 |
|
1,509 |
1,469 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
68 |
64 |
$0.00 |
| 90656 |
|
61 |
61 |
$0.00 |
| 36416 |
|
120 |
106 |
$0.00 |
| 90716 |
|
53 |
53 |
$0.00 |
| 91307 |
|
84 |
66 |
$0.00 |