| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
1,789 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,475 |
1,310 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
227 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
495 |
447 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
173 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
96 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
29 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
712 |
305 |
$2K |
| 97803 |
|
891 |
840 |
$1K |
| 90461 |
|
125 |
114 |
$360.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
128 |
$327.90 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
77 |
$304.62 |
| 99051 |
|
242 |
224 |
$174.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
81 |
$81.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$12.74 |
| 92558 |
|
48 |
47 |
$11.39 |
| 96160 |
|
206 |
201 |
$2.65 |
| 99177 |
|
656 |
608 |
$1.70 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
112 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
315 |
280 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
715 |
672 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
726 |
671 |
$0.00 |
| 96127 |
|
78 |
77 |
$0.00 |
| 96161 |
|
46 |
39 |
$0.00 |