| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
788 |
752 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,930 |
2,597 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,054 |
1,757 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
934 |
920 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
972 |
905 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,365 |
1,545 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
571 |
553 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
74 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
767 |
588 |
$6K |
| 99000 |
|
551 |
509 |
$6K |
| 87428 |
|
181 |
174 |
$5K |
| 99429 |
|
175 |
173 |
$5K |
| 90461 |
|
583 |
530 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
55 |
$3K |
| 87807 |
|
257 |
243 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$3K |
| 90670 |
|
363 |
355 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
44 |
$2K |
| 92551 |
|
391 |
381 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
43 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
148 |
132 |
$858.29 |
| 99381 |
|
12 |
12 |
$815.18 |
| 90698 |
|
211 |
205 |
$808.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
38 |
$619.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$438.18 |
| 99072 |
|
245 |
213 |
$352.50 |
| 96160 |
|
211 |
195 |
$145.49 |
| 90680 |
|
112 |
108 |
$90.65 |
| 90633 |
|
68 |
68 |
$36.23 |
| 94760 |
|
110 |
97 |
$30.29 |
| 90686 |
|
332 |
324 |
$19.37 |
| 90619 |
|
14 |
14 |
$0.00 |
| 3074F |
|
123 |
122 |
$0.00 |
| 96127 |
|
68 |
50 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3008F |
|
825 |
718 |
$0.00 |
| 90677 |
|
51 |
50 |
$0.00 |
| 90697 |
|
43 |
42 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
34 |
31 |
$0.00 |
| 90656 |
|
69 |
69 |
$0.00 |
| 1125F |
|
26 |
22 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,589 |
1,333 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
348 |
321 |
$0.00 |
| 99173 |
|
384 |
370 |
$0.00 |
| 1159F |
|
929 |
805 |
$0.00 |
| 3078F |
|
125 |
124 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
30 |
30 |
$0.00 |