| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,717 |
2,426 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
989 |
940 |
$112K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,942 |
1,935 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
604 |
604 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
488 |
463 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
192 |
$18K |
| 99383 |
|
97 |
97 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,079 |
1,009 |
$10K |
| 99384 |
|
77 |
77 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
166 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$7K |
| 87430 |
|
406 |
403 |
$6K |
| 87400 |
|
225 |
221 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$4K |
| 96127 |
|
856 |
825 |
$3K |
| 99382 |
|
27 |
27 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
30 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
16 |
$499.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$377.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$205.80 |
| 96161 |
|
20 |
13 |
$100.00 |
| 90688 |
|
34 |
34 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,837 |
936 |
$0.00 |
| 90716 |
|
170 |
170 |
$0.00 |
| 90723 |
|
223 |
223 |
$0.00 |
| 90744 |
|
85 |
85 |
$0.00 |
| 90686 |
|
720 |
720 |
$0.00 |
| 90647 |
|
193 |
193 |
$0.00 |
| 90656 |
|
70 |
70 |
$0.00 |
| 90651 |
|
54 |
54 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 90713 |
|
64 |
64 |
$0.00 |
| 90633 |
|
312 |
312 |
$0.00 |
| 90670 |
|
301 |
301 |
$0.00 |
| 90681 |
|
30 |
30 |
$0.00 |
| 90707 |
|
106 |
106 |
$0.00 |
| 90715 |
|
80 |
80 |
$0.00 |
| 90700 |
|
38 |
38 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |