| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,809 |
1,807 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,177 |
1,177 |
$126K |
| 92551 |
|
5,836 |
5,830 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,447 |
19,241 |
$79K |
| 90686 |
|
3,574 |
3,542 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
713 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
428 |
393 |
$30K |
| 99173 |
|
4,786 |
4,779 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,052 |
2,901 |
$17K |
| 85018 |
|
7,186 |
7,104 |
$13K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
419 |
419 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
304 |
304 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
749 |
635 |
$9K |
| 82465 |
|
2,543 |
2,541 |
$8K |
| 81003 |
|
4,488 |
4,346 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,890 |
1,826 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
615 |
607 |
$4K |
| 99460 |
|
61 |
61 |
$4K |
| 90651 |
|
121 |
121 |
$2K |
| 90670 |
|
132 |
130 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
87 |
$2K |
| 90648 |
|
116 |
114 |
$2K |
| 90723 |
|
66 |
66 |
$1K |
| 90633 |
|
63 |
63 |
$1K |
| 81002 |
|
504 |
503 |
$1K |
| 90734 |
|
56 |
56 |
$1K |
| 96127 |
|
30 |
28 |
$216.60 |
| 90715 |
|
12 |
12 |
$198.00 |