| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,449 |
10,535 |
$1.13M |
| 99442 |
|
3,149 |
2,694 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,374 |
1,367 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,411 |
1,407 |
$125K |
| 99401 |
|
4,163 |
3,050 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
802 |
787 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,087 |
2,927 |
$30K |
| 92552 |
|
1,795 |
1,793 |
$24K |
| 92587 |
|
747 |
747 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
63 |
31 |
$21K |
| 94010 |
|
938 |
936 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
740 |
713 |
$19K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
52 |
42 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
117 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
72 |
$7K |
| 99441 |
|
120 |
118 |
$5K |
| 90658 |
|
950 |
950 |
$3K |
| 90461 |
|
436 |
428 |
$2K |
| 99406 |
|
1,306 |
1,302 |
$1K |
| 96127 |
|
1,293 |
1,288 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
92 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
858 |
816 |
$785.58 |
| 92567 |
|
68 |
67 |
$758.24 |
| 99429 |
|
44 |
43 |
$665.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
13 |
$462.96 |
| 99072 |
|
1,535 |
1,118 |
$290.00 |
| 83655 |
|
30 |
30 |
$261.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
80 |
$256.70 |
| 99173 |
|
1,786 |
1,784 |
$56.34 |
| 90672 |
|
94 |
94 |
$31.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,005 |
1,864 |
$10.35 |
| 91301 |
|
35 |
32 |
$0.02 |
| 90734 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,255 |
1,241 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
4,196 |
4,141 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
227 |
227 |
$0.00 |
| 99000 |
|
98 |
98 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |