| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,023 |
2,480 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,040 |
3,223 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,122 |
2,018 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
625 |
575 |
$56K |
| 90461 |
|
872 |
846 |
$46K |
| 90670 |
|
139 |
139 |
$30K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,561 |
1,237 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
275 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
260 |
252 |
$26K |
| 99174 |
|
1,093 |
1,049 |
$15K |
| 87428 |
|
251 |
226 |
$9K |
| 90686 |
|
465 |
458 |
$8K |
| 90723 |
|
66 |
66 |
$6K |
| 90680 |
|
65 |
65 |
$6K |
| 90674 |
|
157 |
154 |
$4K |
| 92558 |
|
339 |
331 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
141 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$3K |
| 90716 |
|
14 |
14 |
$2K |
| 90661 |
|
61 |
59 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
168 |
164 |
$2K |
| 90648 |
|
127 |
127 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90688 |
|
61 |
60 |
$1K |
| 90707 |
|
14 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
41 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
137 |
125 |
$620.45 |
| 90633 |
|
12 |
12 |
$383.40 |
| 96160 |
|
109 |
103 |
$272.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
12 |
$255.40 |
| 99188 |
|
14 |
13 |
$193.10 |
| 96127 |
|
26 |
26 |
$176.58 |
| 36416 |
|
94 |
69 |
$44.85 |