| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,515 |
12,859 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,682 |
2,637 |
$307K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,249 |
5,888 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,059 |
2,013 |
$221K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,184 |
2,064 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,251 |
1,205 |
$141K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,366 |
2,131 |
$113K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,246 |
4,958 |
$90K |
| 99051 |
|
8,596 |
7,788 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
548 |
494 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,155 |
1,104 |
$50K |
| 99173 |
|
5,121 |
4,933 |
$37K |
| 92551 |
|
5,113 |
4,923 |
$31K |
| 99383 |
|
144 |
135 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,198 |
1,114 |
$13K |
| 99384 |
|
79 |
73 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
86 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
774 |
695 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
217 |
203 |
$5K |
| 99381 |
|
41 |
37 |
$4K |
| 99382 |
|
36 |
30 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
54 |
$250.68 |
| 99050 |
|
13 |
13 |
$168.61 |
| 94760 |
|
71 |
64 |
$106.24 |
| 90671 |
|
304 |
276 |
$0.06 |
| 90677 |
|
380 |
375 |
$0.01 |
| 90698 |
|
263 |
260 |
$0.00 |
| 90686 |
|
1,947 |
1,903 |
$0.00 |
| 90696 |
|
100 |
95 |
$0.00 |
| 90651 |
|
81 |
81 |
$0.00 |
| 90697 |
|
534 |
516 |
$0.00 |
| 90744 |
|
66 |
66 |
$0.00 |
| 90716 |
|
16 |
12 |
$0.00 |
| 85018 |
|
41 |
39 |
$0.00 |
| 90670 |
|
881 |
860 |
$0.00 |
| 90710 |
|
441 |
435 |
$0.00 |
| 90681 |
|
383 |
371 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
275 |
262 |
$0.00 |
| 90734 |
|
120 |
118 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90715 |
|
93 |
88 |
$0.00 |
| 90633 |
|
809 |
792 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90707 |
|
16 |
12 |
$0.00 |