| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,633 |
10,469 |
$890K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,831 |
6,265 |
$412K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
727 |
725 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
377 |
$34K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
959 |
907 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,817 |
1,799 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
209 |
$18K |
| 90686 |
|
1,161 |
1,159 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,539 |
2,481 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,957 |
2,790 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,050 |
1,047 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,338 |
1,313 |
$10K |
| 99000 |
|
658 |
617 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
253 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,178 |
1,177 |
$6K |
| 81000 |
|
2,051 |
1,953 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
203 |
203 |
$4K |
| 96127 |
|
924 |
918 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
273 |
272 |
$3K |
| 80061 |
Lipid panel |
338 |
335 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
197 |
$3K |
| 0012A |
|
53 |
53 |
$2K |
| 0011A |
|
58 |
58 |
$2K |
| 90656 |
|
91 |
90 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
72 |
$1K |
| 0064A |
|
40 |
40 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
111 |
$765.02 |
| 0134A |
|
35 |
35 |
$661.75 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$628.40 |
| 90677 |
|
13 |
13 |
$596.08 |
| 0124A |
|
13 |
13 |
$218.15 |
| 84439 |
|
40 |
40 |
$201.94 |
| 81025 |
|
25 |
25 |
$172.65 |
| 99459 |
|
12 |
12 |
$163.63 |
| 0054A |
|
14 |
14 |
$146.84 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
26 |
26 |
$83.50 |
| 90662 |
|
39 |
39 |
$69.94 |
| 82043 |
|
16 |
16 |
$55.56 |
| 82570 |
|
16 |
16 |
$49.78 |
| G0008 |
Administration of influenza virus vaccine |
236 |
234 |
$45.03 |
| 98966 |
|
144 |
105 |
$0.16 |
| 3075F |
|
312 |
297 |
$0.00 |
| 3074F |
|
707 |
640 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,064 |
1,058 |
$0.00 |
| 3080F |
|
83 |
78 |
$0.00 |
| 3044F |
|
62 |
62 |
$0.00 |
| 3079F |
|
547 |
513 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
521 |
519 |
$0.00 |
| 3077F |
|
160 |
151 |
$0.00 |
| 1124F |
|
344 |
340 |
$0.00 |
| 3078F |
|
512 |
460 |
$0.00 |