| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,940 |
3,345 |
$156K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
524 |
79 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
557 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,035 |
1,280 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
472 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
194 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
293 |
281 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
239 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,572 |
1,477 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
226 |
217 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
491 |
470 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
506 |
257 |
$6K |
| 99383 |
|
57 |
57 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$4K |
| 99382 |
|
29 |
29 |
$3K |
| 99384 |
|
13 |
13 |
$1K |
| 90461 |
|
374 |
304 |
$1K |
| 99381 |
|
14 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
171 |
150 |
$501.53 |
| 90677 |
|
182 |
175 |
$386.75 |
| 92551 |
|
78 |
75 |
$220.73 |
| 87807 |
|
14 |
14 |
$155.26 |
| 87400 |
|
52 |
23 |
$96.80 |
| 96160 |
|
13 |
12 |
$19.61 |
| 90686 |
|
70 |
69 |
$0.01 |
| 90670 |
|
232 |
223 |
$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) |
721 |
647 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
32 |
$0.00 |
| 90633 |
|
111 |
107 |
$0.00 |
| 90710 |
|
36 |
36 |
$0.00 |
| 99173 |
|
30 |
29 |
$0.00 |
| 90680 |
|
132 |
131 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 96127 |
|
17 |
16 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |