| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,099 |
7,783 |
$916K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,103 |
9,627 |
$832K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
988 |
987 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
980 |
980 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
513 |
513 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,213 |
4,089 |
$38K |
| 92552 |
|
2,264 |
2,260 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,846 |
900 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
210 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
646 |
646 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,422 |
1,383 |
$6K |
| 99441 |
|
98 |
95 |
$4K |
| 90686 |
|
1,506 |
1,497 |
$3K |
| 0071A |
|
68 |
68 |
$2K |
| 99442 |
|
45 |
44 |
$2K |
| 0072A |
|
58 |
58 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
40 |
$1K |
| 90670 |
|
133 |
133 |
$1K |
| 90461 |
|
935 |
926 |
$943.22 |
| 36415 |
Collection of venous blood by venipuncture |
4,246 |
4,104 |
$870.14 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
56 |
56 |
$512.17 |
| 90671 |
|
24 |
24 |
$208.11 |
| 93000 |
|
12 |
12 |
$153.00 |
| 90480 |
|
24 |
22 |
$120.00 |
| 90633 |
|
25 |
25 |
$96.00 |
| 86580 |
|
18 |
16 |
$77.22 |
| 99173 |
|
2,257 |
2,250 |
$45.39 |
| 83655 |
|
984 |
984 |
$35.53 |
| 90656 |
|
98 |
98 |
$23.53 |
| 94760 |
|
2,082 |
1,917 |
$3.66 |
| 90734 |
|
20 |
20 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 99401 |
|
27 |
27 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 91307 |
|
131 |
113 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |