| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,583 |
2,294 |
$78K |
| 99173 |
|
1,288 |
1,215 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
396 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
318 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
200 |
198 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,596 |
1,496 |
$11K |
| 92551 |
|
1,287 |
1,215 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
544 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
132 |
$8K |
| 99384 |
|
89 |
84 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
111 |
$6K |
| 36416 |
|
1,579 |
1,487 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
59 |
$3K |
| 96160 |
|
1,048 |
986 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
196 |
$3K |
| 99383 |
|
38 |
36 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
88 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
69 |
67 |
$2K |
| 81003 |
|
1,286 |
1,202 |
$2K |
| 99409 |
|
299 |
291 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
45 |
$994.57 |
| 96127 |
|
333 |
322 |
$891.96 |
| 90710 |
|
13 |
12 |
$813.43 |
| 99381 |
|
13 |
12 |
$668.90 |
| 97802 |
|
100 |
98 |
$639.83 |
| 90686 |
|
43 |
34 |
$122.57 |
| 83655 |
|
16 |
12 |
$111.51 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
838 |
802 |
$0.00 |
| 3008F |
|
1,043 |
1,003 |
$0.00 |
| 99000 |
|
72 |
70 |
$0.00 |
| 4004F |
|
207 |
199 |
$0.00 |