| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,704 |
13,954 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,367 |
5,458 |
$182K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,067 |
900 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
617 |
533 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
78 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
564 |
396 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
76 |
$2K |
| 3008F |
|
332 |
269 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
27 |
$2K |
| 92551 |
|
276 |
239 |
$2K |
| 99173 |
|
288 |
249 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
123 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
881 |
774 |
$1K |
| 81003 |
|
698 |
566 |
$892.10 |
| 90686 |
|
110 |
91 |
$717.48 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
410 |
308 |
$453.69 |
| 87807 |
|
61 |
57 |
$452.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
346 |
259 |
$415.78 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
184 |
132 |
$350.51 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
116 |
74 |
$251.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
12 |
$231.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
351 |
274 |
$158.55 |
| 99497 |
|
293 |
224 |
$140.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$99.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$3.61 |
| 90688 |
|
14 |
12 |
$0.00 |
| 99406 |
|
21 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
34 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |