| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,863 |
4,725 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,664 |
2,170 |
$235K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,309 |
2,897 |
$97K |
| 96127 |
|
3,550 |
2,941 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,444 |
1,236 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,820 |
1,317 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
201 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
147 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
672 |
604 |
$13K |
| 36416 |
|
4,094 |
3,388 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
89 |
$9K |
| 96160 |
|
561 |
406 |
$6K |
| 99401 |
|
193 |
177 |
$5K |
| 99173 |
|
882 |
713 |
$5K |
| 87428 |
|
114 |
100 |
$4K |
| 92552 |
|
174 |
158 |
$2K |
| 90686 |
|
2,350 |
2,042 |
$643.43 |
| 92551 |
|
126 |
108 |
$581.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
46 |
$402.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$396.91 |
| 87807 |
|
13 |
12 |
$114.50 |
| 85018 |
|
5,066 |
4,229 |
$28.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
737 |
560 |
$26.57 |
| 90685 |
|
15 |
13 |
$0.01 |
| 90461 |
|
247 |
216 |
$0.00 |
| 81003 |
|
837 |
723 |
$0.00 |
| 99072 |
|
200 |
157 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
29 |
$0.00 |
| 90656 |
|
95 |
91 |
$0.00 |
| 97802 |
|
37 |
31 |
$0.00 |