| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,139 |
8,484 |
$350K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,604 |
2,415 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,365 |
3,874 |
$95K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,437 |
2,213 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
809 |
780 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,918 |
2,253 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
706 |
697 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
722 |
699 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
722 |
709 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,594 |
3,354 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
462 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
869 |
633 |
$7K |
| 87807 |
|
667 |
609 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
994 |
931 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 90461 |
|
191 |
162 |
$1K |
| 86308 |
|
261 |
249 |
$908.60 |
| 96161 |
|
340 |
337 |
$612.78 |
| 99000 |
|
57 |
50 |
$501.12 |
| 96160 |
|
242 |
232 |
$346.73 |
| 90474 |
|
30 |
30 |
$294.78 |
| 94760 |
|
228 |
208 |
$279.15 |
| 81003 |
|
128 |
124 |
$205.02 |
| 83655 |
|
14 |
14 |
$124.08 |
| 90686 |
|
532 |
523 |
$1.08 |
| 90651 |
|
98 |
96 |
$0.15 |
| 90620 |
|
15 |
15 |
$0.04 |
| 90621 |
|
23 |
23 |
$0.03 |
| 90647 |
|
226 |
224 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
769 |
753 |
$0.00 |
| 90723 |
|
168 |
166 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90648 |
|
137 |
137 |
$0.00 |
| 90670 |
|
597 |
585 |
$0.00 |
| 90681 |
|
51 |
51 |
$0.00 |
| 90633 |
|
135 |
134 |
$0.00 |
| 90734 |
|
83 |
81 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
764 |
750 |
$0.00 |
| 90658 |
|
139 |
137 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |