| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,718 |
6,459 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,334 |
4,144 |
$291K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,362 |
1,360 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,185 |
1,178 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,035 |
1,030 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
529 |
529 |
$60K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,053 |
1,040 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
848 |
760 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,757 |
1,722 |
$16K |
| 99173 |
|
2,538 |
2,523 |
$15K |
| 92551 |
|
2,537 |
2,522 |
$15K |
| 99188 |
|
599 |
599 |
$14K |
| 96161 |
|
667 |
666 |
$3K |
| 90677 |
|
175 |
175 |
$2K |
| 90680 |
|
364 |
364 |
$2K |
| 90698 |
|
296 |
296 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
28 |
$1K |
| 90670 |
|
241 |
241 |
$1K |
| 90686 |
|
479 |
432 |
$1K |
| 90697 |
|
221 |
221 |
$1K |
| 87807 |
|
63 |
62 |
$998.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
776 |
768 |
$907.24 |
| 96127 |
|
705 |
704 |
$412.36 |
| 90633 |
|
148 |
148 |
$325.00 |
| 90710 |
|
95 |
95 |
$182.00 |
| 90651 |
|
57 |
53 |
$169.00 |
| 81002 |
|
12 |
12 |
$48.44 |
| 96160 |
|
868 |
864 |
$32.25 |
| 85018 |
|
17 |
17 |
$4.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
367 |
367 |
$0.00 |
| 3008F |
|
1,695 |
1,687 |
$0.00 |
| 90619 |
|
44 |
42 |
$0.00 |
| 90656 |
|
72 |
72 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90671 |
|
155 |
155 |
$0.00 |
| 83655 |
|
103 |
103 |
$0.00 |
| G9920 |
Screening performed and negative |
433 |
432 |
$0.00 |