| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,726 |
10,477 |
$467K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,870 |
5,236 |
$209K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,447 |
4,664 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
775 |
762 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,481 |
2,365 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
675 |
661 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
685 |
667 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,877 |
3,569 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
416 |
408 |
$30K |
| 99000 |
|
912 |
853 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
906 |
685 |
$7K |
| 87807 |
|
735 |
623 |
$7K |
| 92587 |
|
291 |
287 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
55 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 81003 |
|
1,063 |
999 |
$2K |
| 90461 |
|
198 |
161 |
$1K |
| 96161 |
|
641 |
636 |
$1K |
| 90474 |
|
100 |
97 |
$982.51 |
| 94760 |
|
367 |
328 |
$451.18 |
| 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 |
1,728 |
1,696 |
$280.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$226.10 |
| 82570 |
|
34 |
33 |
$125.95 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$40.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$0.64 |
| 90686 |
|
1,365 |
1,348 |
$0.49 |
| 90648 |
|
183 |
182 |
$0.00 |
| 90670 |
|
354 |
351 |
$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) |
51 |
51 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,728 |
1,696 |
$0.00 |
| 90680 |
|
101 |
98 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90723 |
|
67 |
67 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |