| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,105 |
2,631 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,069 |
1,022 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
979 |
922 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
736 |
694 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
910 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
191 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
165 |
155 |
$2K |
| 90688 |
|
248 |
247 |
$1K |
| 90686 |
|
738 |
645 |
$1K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
59 |
57 |
$1K |
| 90698 |
|
103 |
103 |
$1K |
| 92552 |
|
124 |
124 |
$992.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
114 |
$840.43 |
| 90670 |
|
270 |
242 |
$840.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
85 |
$754.92 |
| 96127 |
|
209 |
195 |
$750.70 |
| 90672 |
|
218 |
167 |
$440.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$340.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
30 |
$310.77 |
| 85018 |
|
55 |
55 |
$174.42 |
| 90680 |
|
80 |
67 |
$130.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
126 |
97 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90697 |
|
95 |
81 |
$0.00 |