| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,110 |
4,610 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,804 |
1,762 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,214 |
2,069 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,368 |
1,337 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,217 |
1,113 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
800 |
780 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,682 |
2,506 |
$66K |
| 92552 |
|
1,631 |
1,572 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,314 |
2,817 |
$19K |
| 99429 |
|
520 |
464 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
176 |
170 |
$9K |
| 99381 |
|
103 |
102 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
406 |
$8K |
| 90461 |
|
1,854 |
1,419 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
461 |
376 |
$3K |
| 99000 |
|
340 |
330 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
205 |
$3K |
| 99383 |
|
24 |
24 |
$2K |
| 0001A |
|
38 |
38 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
33 |
$1K |
| 99382 |
|
14 |
13 |
$1K |
| 99384 |
|
14 |
13 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$845.19 |
| 85018 |
|
504 |
494 |
$742.80 |
| 96160 |
|
380 |
338 |
$605.81 |
| 0002A |
|
17 |
17 |
$552.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
50 |
$413.46 |
| 83655 |
|
14 |
14 |
$150.32 |
| 97803 |
|
2,990 |
2,915 |
$101.02 |
| 91307 |
|
105 |
94 |
$0.54 |
| 91300 |
|
100 |
87 |
$0.18 |
| 90686 |
|
579 |
562 |
$0.02 |
| 90688 |
|
192 |
179 |
$0.02 |
| 90723 |
|
273 |
187 |
$0.00 |
| 90680 |
|
250 |
167 |
$0.00 |
| 90696 |
|
43 |
42 |
$0.00 |
| 90716 |
|
236 |
224 |
$0.00 |
| 90651 |
|
234 |
217 |
$0.00 |
| 99406 |
|
111 |
106 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 99173 |
|
1,737 |
1,604 |
$0.00 |
| 99072 |
|
3,099 |
2,884 |
$0.00 |
| 90670 |
|
675 |
528 |
$0.00 |
| 90648 |
|
578 |
436 |
$0.00 |
| 90707 |
|
234 |
222 |
$0.00 |
| 90734 |
|
135 |
129 |
$0.00 |
| 90715 |
|
64 |
62 |
$0.00 |
| 90633 |
|
238 |
221 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |