| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
662 |
635 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
915 |
875 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
972 |
969 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
261 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
196 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
124 |
$15K |
| 92587 |
|
551 |
551 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
978 |
968 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
220 |
$10K |
| 90677 |
|
21 |
21 |
$6K |
| 92551 |
|
334 |
334 |
$4K |
| 90461 |
|
181 |
181 |
$4K |
| 99406 |
|
142 |
142 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
33 |
32 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
206 |
205 |
$1K |
| 83655 |
|
131 |
131 |
$1K |
| 81000 |
|
335 |
332 |
$1K |
| 0001A |
|
20 |
20 |
$847.38 |
| 99051 |
|
128 |
121 |
$600.57 |
| 86580 |
|
39 |
39 |
$416.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
34 |
$392.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$287.48 |
| 96160 |
|
69 |
69 |
$83.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
75 |
$70.00 |
| 99177 |
|
97 |
97 |
$62.35 |
| 99072 |
|
411 |
402 |
$38.00 |
| 94760 |
|
84 |
84 |
$20.66 |
| 90686 |
|
289 |
289 |
$20.08 |
| 99173 |
|
34 |
34 |
$19.04 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
185 |
$15.60 |
| 90648 |
|
47 |
47 |
$14.05 |
| 96127 |
|
59 |
59 |
$5.19 |
| 91305 |
|
13 |
12 |
$0.13 |
| 90651 |
|
28 |
28 |
$0.00 |
| 87077 |
|
13 |
13 |
$0.00 |
| 99000 |
|
68 |
63 |
$0.00 |
| 90680 |
|
17 |
17 |
$0.00 |
| 99080 |
|
2,172 |
657 |
$0.00 |
| 90713 |
|
42 |
42 |
$0.00 |
| 90700 |
|
72 |
72 |
$0.00 |