| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
763 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,203 |
1,069 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
392 |
377 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$12K |
| 87428 |
|
61 |
60 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
50 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
607 |
585 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
37 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,025 |
986 |
$398.81 |
| 81002 |
|
148 |
147 |
$318.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$240.10 |
| 90686 |
|
56 |
56 |
$96.04 |
| 97802 |
|
443 |
435 |
$50.00 |
| 83655 |
|
107 |
107 |
$9.31 |
| 90461 |
|
217 |
211 |
$0.00 |
| 92552 |
|
256 |
252 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
19 |
$0.00 |
| 99051 |
|
42 |
41 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
128 |
113 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
537 |
529 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
503 |
495 |
$0.00 |
| 96127 |
|
112 |
108 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
17 |
$0.00 |
| 36416 |
|
168 |
166 |
$0.00 |
| 85018 |
|
98 |
97 |
$0.00 |
| 99058 |
|
93 |
89 |
$0.00 |
| D1330 |
|
189 |
171 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$0.00 |
| D1310 |
|
189 |
171 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$0.00 |