| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
470 |
449 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
653 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,018 |
1,010 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
290 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
241 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
198 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
137 |
$16K |
| 92587 |
|
689 |
687 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
925 |
906 |
$12K |
| 90677 |
|
44 |
44 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
150 |
148 |
$7K |
| 92551 |
|
463 |
462 |
$6K |
| 90461 |
|
224 |
224 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
91 |
87 |
$4K |
| 90671 |
|
14 |
14 |
$3K |
| 83655 |
|
175 |
175 |
$2K |
| 99406 |
|
142 |
142 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
252 |
250 |
$2K |
| 81000 |
|
428 |
428 |
$1K |
| 0001A |
|
25 |
24 |
$997.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
66 |
$788.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
56 |
$768.60 |
| 86580 |
|
53 |
53 |
$603.22 |
| 0052A |
|
13 |
13 |
$520.00 |
| 0054A |
|
12 |
12 |
$501.72 |
| 99051 |
|
79 |
74 |
$345.89 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
18 |
$179.71 |
| 96160 |
|
163 |
162 |
$149.24 |
| 99177 |
|
178 |
178 |
$100.00 |
| 90686 |
|
370 |
368 |
$57.22 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
185 |
185 |
$35.00 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
266 |
$11.70 |
| 99072 |
|
193 |
190 |
$9.00 |
| 99000 |
|
48 |
48 |
$7.80 |
| 96127 |
|
165 |
164 |
$5.19 |
| 94760 |
|
110 |
104 |
$4.74 |
| 91305 |
|
41 |
41 |
$0.40 |
| 90680 |
|
30 |
30 |
$0.00 |
| 87070 |
|
15 |
15 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99080 |
|
550 |
218 |
$0.00 |
| 90648 |
|
71 |
71 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| 90713 |
|
34 |
34 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90700 |
|
84 |
84 |
$0.00 |
| 91300 |
|
29 |
29 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |