| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,518 |
3,387 |
$145K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
879 |
440 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
537 |
364 |
$12K |
| 92586 |
|
429 |
376 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
63 |
$4K |
| 3008F |
|
2,695 |
1,909 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
124 |
$1K |
| 3078F |
|
490 |
368 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
119 |
$1K |
| 3074F |
|
421 |
315 |
$980.00 |
| 36415 |
Collection of venous blood by venipuncture |
641 |
493 |
$764.99 |
| 90688 |
|
178 |
136 |
$558.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
38 |
$502.83 |
| 96127 |
|
132 |
64 |
$340.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$92.36 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
103 |
80 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
13 |
$0.00 |