| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,609 |
4,737 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,212 |
2,678 |
$154K |
| S8301 |
Infection control supplies, not otherwise specified |
5,865 |
4,581 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
694 |
672 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,152 |
2,442 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
400 |
379 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,363 |
1,932 |
$18K |
| 99000 |
|
2,284 |
1,957 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
219 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
116 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
648 |
563 |
$7K |
| 90461 |
|
1,488 |
740 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
522 |
224 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
153 |
104 |
$4K |
| 92551 |
|
1,092 |
1,047 |
$4K |
| 97803 |
|
715 |
639 |
$3K |
| 97802 |
|
427 |
409 |
$3K |
| 99429 |
|
82 |
79 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
120 |
108 |
$784.09 |
| 96160 |
|
580 |
550 |
$456.41 |
| 90686 |
|
841 |
812 |
$17.76 |
| 36416 |
|
83 |
67 |
$0.00 |
| 90656 |
|
54 |
53 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99173 |
|
1,241 |
1,188 |
$0.00 |
| 90670 |
|
41 |
40 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |