| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,714 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
596 |
563 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
83 |
82 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
619 |
428 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
52 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 90461 |
|
102 |
98 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
32 |
$696.28 |
| 92552 |
|
25 |
25 |
$484.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$389.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$156.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$36.19 |
| 90686 |
|
53 |
51 |
$20.12 |
| 85018 |
|
13 |
13 |
$10.64 |
| 99177 |
|
28 |
27 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90648 |
|
15 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
618 |
594 |
$0.00 |
| 97802 |
|
649 |
628 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
44 |
41 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |