| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,383 |
23,293 |
$973K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,010 |
5,842 |
$330K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,346 |
1,312 |
$116K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,000 |
655 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
477 |
428 |
$25K |
| 90834 |
Psychotherapy, 45 minutes with patient |
400 |
222 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,156 |
1,058 |
$9K |
| H1000 |
Prenatal care, at-risk assessment |
160 |
150 |
$8K |
| 59899 |
|
128 |
122 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
364 |
230 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
783 |
565 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,783 |
1,569 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
203 |
$2K |
| 99459 |
|
167 |
164 |
$2K |
| 90686 |
|
318 |
307 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
145 |
50 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
24 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
15 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 97165 |
|
28 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
86 |
$968.52 |
| 81025 |
|
117 |
84 |
$568.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
24 |
$541.97 |
| 76801 |
|
13 |
12 |
$429.45 |
| 87210 |
|
112 |
99 |
$358.51 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$314.82 |
| 92551 |
|
56 |
54 |
$244.28 |
| 99442 |
|
18 |
16 |
$236.63 |
| 99173 |
|
57 |
55 |
$81.60 |
| 80305 |
|
13 |
13 |
$75.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
16 |
$56.06 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$19.10 |
| 36416 |
|
30 |
28 |
$3.63 |
| 3008F |
|
12,982 |
10,126 |
$0.00 |
| 3074F |
|
434 |
380 |
$0.00 |
| 1125F |
|
22 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
45 |
41 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| 4037F |
|
176 |
170 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| 94760 |
|
18 |
12 |
$0.00 |
| 3725F |
|
3,097 |
2,781 |
$0.00 |
| 3078F |
|
409 |
361 |
$0.00 |