| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,322 |
5,701 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,140 |
3,739 |
$223K |
| 99199 |
Unlisted special service, procedure or report |
21,264 |
20,371 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
617 |
583 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
793 |
746 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
137 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
94 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
125 |
116 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
245 |
234 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
335 |
148 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
577 |
520 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
219 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
98 |
93 |
$3K |
| 90686 |
|
767 |
737 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
67 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
773 |
723 |
$1K |
| 99442 |
|
32 |
29 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$1K |
| 90674 |
|
133 |
116 |
$537.01 |
| 92551 |
|
803 |
778 |
$319.34 |
| 90461 |
|
30 |
28 |
$267.06 |
| 99173 |
|
854 |
828 |
$252.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$201.12 |
| 81003 |
|
92 |
87 |
$138.61 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
72 |
62 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
17 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
58 |
50 |
$0.00 |
| 90670 |
|
19 |
14 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
33 |
25 |
$0.00 |