| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,748 |
4,293 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,030 |
960 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
885 |
883 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,122 |
1,101 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,485 |
1,632 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
250 |
249 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
290 |
286 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
892 |
867 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
318 |
295 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
394 |
392 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,029 |
786 |
$8K |
| 90461 |
|
943 |
790 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
54 |
$3K |
| 99460 |
|
39 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 99001 |
|
364 |
361 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
133 |
119 |
$842.39 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
56 |
$670.30 |
| 99462 |
|
12 |
12 |
$407.60 |
| 87807 |
|
34 |
34 |
$381.70 |
| 96160 |
|
34 |
34 |
$26.61 |
| 90677 |
|
13 |
13 |
$1.30 |
| 90633 |
|
144 |
144 |
$0.00 |
| 90648 |
|
699 |
694 |
$0.00 |
| 90670 |
|
675 |
672 |
$0.00 |
| 90681 |
|
54 |
54 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |
| 90686 |
|
434 |
430 |
$0.00 |
| 90723 |
|
493 |
490 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |