| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,971 |
4,218 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,833 |
5,084 |
$283K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,212 |
1,165 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,128 |
1,096 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,518 |
4,073 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
981 |
969 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
596 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,495 |
1,421 |
$36K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
249 |
236 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,064 |
1,887 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
531 |
503 |
$26K |
| S8301 |
Infection control supplies, not otherwise specified |
5,401 |
4,416 |
$20K |
| 99417 |
Prolong home eval add 15m |
1,640 |
1,415 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
402 |
362 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,418 |
1,057 |
$11K |
| 99000 |
|
988 |
914 |
$6K |
| 90461 |
|
869 |
743 |
$6K |
| 99354 |
|
92 |
81 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
83 |
$2K |
| 96160 |
|
1,529 |
1,452 |
$2K |
| 80305 |
|
188 |
182 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
116 |
$2K |
| 90836 |
|
116 |
98 |
$1K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
483 |
471 |
$375.00 |
| 90672 |
|
937 |
889 |
$101.16 |
| 90686 |
|
2,119 |
2,059 |
$53.69 |
| 90670 |
|
534 |
524 |
$0.00 |
| 90734 |
|
72 |
69 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,801 |
1,759 |
$0.00 |
| 90620 |
|
84 |
79 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
526 |
502 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90651 |
|
151 |
142 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 90619 |
|
43 |
40 |
$0.00 |
| 96127 |
|
47 |
41 |
$0.00 |