| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
817 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,417 |
1,127 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
708 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
383 |
345 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,776 |
1,118 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
455 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
127 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
817 |
671 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
496 |
182 |
$5K |
| 87807 |
|
527 |
427 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
191 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
42 |
$3K |
| 99381 |
|
51 |
38 |
$2K |
| 87428 |
|
59 |
48 |
$1K |
| 99382 |
|
20 |
17 |
$991.98 |
| 99050 |
|
66 |
63 |
$932.57 |
| 99383 |
|
22 |
19 |
$922.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
53 |
$700.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
70 |
$585.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$416.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
21 |
$221.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$90.96 |
| 99000 |
|
16 |
13 |
$52.14 |
| 81002 |
|
19 |
17 |
$37.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$5.88 |
| 90677 |
|
50 |
40 |
$0.02 |
| 90671 |
|
30 |
29 |
$0.02 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
18 |
16 |
$0.00 |
| 97802 |
|
18 |
16 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
18 |
16 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 90697 |
|
47 |
41 |
$0.00 |
| 99051 |
|
612 |
501 |
$0.00 |
| 90681 |
|
56 |
48 |
$0.00 |