| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,263 |
7,121 |
$302K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,423 |
3,088 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,789 |
2,593 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,278 |
1,267 |
$101K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,574 |
2,956 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,101 |
1,027 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
981 |
972 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,441 |
4,896 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
716 |
711 |
$64K |
| 99429 |
|
1,087 |
1,080 |
$34K |
| 99241 |
|
900 |
850 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
926 |
881 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,153 |
2,135 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,773 |
1,352 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,647 |
1,235 |
$13K |
| 87807 |
|
888 |
789 |
$9K |
| 99000 |
|
840 |
804 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
670 |
633 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
405 |
$4K |
| 90474 |
|
216 |
216 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
30 |
$1K |
| 96161 |
|
508 |
506 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
53 |
31 |
$990.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
1,503 |
1,486 |
$660.00 |
| 90619 |
|
36 |
36 |
$0.09 |
| 90686 |
|
394 |
392 |
$0.07 |
| 90620 |
|
42 |
40 |
$0.01 |
| 90697 |
|
260 |
259 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
481 |
468 |
$0.00 |
| 90698 |
|
164 |
164 |
$0.00 |
| 90680 |
|
229 |
229 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90633 |
|
133 |
133 |
$0.00 |
| 90670 |
|
552 |
551 |
$0.00 |
| 90671 |
|
156 |
153 |
$0.00 |
| 90710 |
|
95 |
95 |
$0.00 |
| 90734 |
|
46 |
46 |
$0.00 |