| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,352 |
3,897 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
847 |
832 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,645 |
1,511 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
447 |
446 |
$41K |
| 99421 |
|
2,141 |
693 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
812 |
786 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,094 |
1,006 |
$30K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,216 |
1,162 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,830 |
1,116 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
394 |
$19K |
| 99444 |
|
187 |
70 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
464 |
459 |
$7K |
| 99422 |
|
151 |
115 |
$3K |
| 99423 |
|
45 |
24 |
$3K |
| 99072 |
|
173 |
160 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
122 |
$982.00 |
| 90686 |
|
700 |
693 |
$769.88 |
| 90461 |
|
111 |
77 |
$657.65 |
| 96160 |
|
184 |
181 |
$491.99 |
| 93000 |
|
17 |
17 |
$203.98 |
| 90473 |
|
13 |
13 |
$115.25 |
| 81002 |
|
28 |
28 |
$96.71 |
| 90656 |
|
47 |
46 |
$72.49 |
| 36415 |
Collection of venous blood by venipuncture |
273 |
268 |
$27.00 |
| 90734 |
|
15 |
15 |
$13.00 |
| 1036F |
|
442 |
362 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,514 |
1,385 |
$0.00 |
| 90651 |
|
30 |
29 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
157 |
141 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
92 |
83 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
13 |
$0.00 |
| 1111F |
|
144 |
108 |
$0.00 |
| 0012A |
|
71 |
71 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23 |
13 |
$0.00 |
| 1101F |
|
23 |
13 |
$0.00 |
| 0011A |
|
69 |
69 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,002 |
911 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
251 |
229 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
426 |
364 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 4040F |
|
22 |
12 |
$0.00 |
| 3288F |
|
24 |
13 |
$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) |
63 |
60 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |