| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,356 |
31,392 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,719 |
3,522 |
$161K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,411 |
14,280 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,624 |
2,580 |
$125K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,317 |
2,293 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,974 |
1,953 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,569 |
2,364 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,291 |
1,283 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,133 |
4,057 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
469 |
419 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,263 |
1,238 |
$35K |
| 99401 |
|
2,366 |
2,361 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
3,199 |
2,982 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
147 |
$9K |
| 99243 |
|
92 |
92 |
$9K |
| 85013 |
|
1,777 |
1,769 |
$7K |
| 17110 |
|
20 |
16 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
554 |
324 |
$3K |
| 99000 |
|
111 |
104 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
826 |
557 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
61 |
$2K |
| 17340 |
|
42 |
41 |
$1K |
| 85018 |
|
566 |
561 |
$1K |
| 99441 |
|
59 |
56 |
$1K |
| 83655 |
|
59 |
57 |
$831.46 |
| 99442 |
|
17 |
17 |
$786.69 |
| 90686 |
|
85 |
85 |
$659.56 |
| 99381 |
|
26 |
25 |
$647.32 |
| 1220F |
|
3,164 |
3,090 |
$441.79 |
| 11721 |
|
30 |
26 |
$364.45 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
42 |
42 |
$348.17 |
| 90710 |
|
45 |
45 |
$295.03 |
| 90723 |
|
12 |
12 |
$283.63 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,977 |
1,941 |
$152.60 |
| 88738 |
|
1,004 |
994 |
$140.77 |
| 93000 |
|
12 |
12 |
$72.65 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$57.73 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
13 |
$23.41 |
| 90461 |
|
1,186 |
1,174 |
$0.00 |
| 90734 |
|
23 |
23 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
76 |
75 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |