| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,583 |
3,168 |
$279K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,281 |
1,273 |
$42K |
| 92552 |
|
803 |
803 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$5K |
| 96127 |
|
766 |
765 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
78 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
99 |
96 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 99173 |
|
784 |
784 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
275 |
260 |
$2K |
| 87634 |
|
35 |
33 |
$2K |
| 99429 |
|
92 |
89 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$934.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$440.00 |
| 96160 |
|
42 |
42 |
$105.71 |
| 90686 |
|
460 |
460 |
$81.62 |
| 90656 |
|
77 |
77 |
$19.77 |
| 36415 |
Collection of venous blood by venipuncture |
670 |
666 |
$5.90 |
| 3074F |
|
158 |
148 |
$0.00 |
| 3008F |
|
380 |
344 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
77 |
77 |
$0.00 |
| 90674 |
|
18 |
18 |
$0.00 |
| 3078F |
|
151 |
142 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |