| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,003 |
3,449 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,184 |
1,037 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
526 |
500 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,567 |
892 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
96 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
586 |
296 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
532 |
521 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
76 |
$7K |
| 90756 |
|
248 |
236 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
189 |
183 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
61 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
44 |
41 |
$3K |
| 99001 |
|
508 |
442 |
$2K |
| 99442 |
|
50 |
45 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
67 |
$2K |
| 86328 |
|
46 |
45 |
$2K |
| 99195 |
|
12 |
12 |
$862.74 |
| 90461 |
|
114 |
91 |
$548.36 |
| 90734 |
|
42 |
38 |
$463.88 |
| 90686 |
|
343 |
325 |
$388.08 |
| 96160 |
|
190 |
158 |
$253.21 |
| 99000 |
|
13 |
13 |
$148.50 |
| S8301 |
Infection control supplies, not otherwise specified |
47 |
40 |
$107.95 |
| 90715 |
|
32 |
30 |
$31.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
242 |
217 |
$0.15 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
19 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
71 |
66 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
160 |
148 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| 3210F |
|
30 |
29 |
$0.00 |