| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,858 |
1,684 |
$74K |
| H1000 |
Prenatal care, at-risk assessment |
460 |
356 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
377 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
237 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
78 |
$6K |
| 90677 |
|
224 |
222 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$6K |
| 87428 |
|
234 |
231 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
74 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
312 |
302 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
303 |
301 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
287 |
278 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
444 |
431 |
$2K |
| 81003 |
|
922 |
722 |
$1K |
| 85018 |
|
491 |
478 |
$707.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$599.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$220.60 |
| 81025 |
|
102 |
85 |
$209.77 |
| 1000F |
|
2,257 |
1,869 |
$99.59 |
| 3008F |
|
2,602 |
2,355 |
$62.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$32.00 |
| 90686 |
|
124 |
118 |
$17.97 |
| 36415 |
Collection of venous blood by venipuncture |
397 |
366 |
$17.66 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
229 |
192 |
$0.01 |
| 1159F |
|
2,843 |
2,549 |
$0.00 |
| 3078F |
|
2,692 |
2,350 |
$0.00 |
| 3725F |
|
217 |
183 |
$0.00 |
| 3210F |
|
568 |
508 |
$0.00 |
| 1160F |
|
2,843 |
2,548 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 90461 |
|
122 |
120 |
$0.00 |
| 99177 |
|
261 |
259 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 4004F |
|
26 |
25 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 4000F |
|
139 |
119 |
$0.00 |
| 2001F |
|
4,193 |
3,599 |
$0.00 |
| 1220F |
|
1,771 |
1,465 |
$0.00 |
| 2000F |
|
2,993 |
2,583 |
$0.00 |
| 3074F |
|
2,720 |
2,361 |
$0.00 |
| 90723 |
|
187 |
183 |
$0.00 |
| 1126F |
|
434 |
422 |
$0.00 |
| 90647 |
|
186 |
181 |
$0.00 |
| 36416 |
|
130 |
125 |
$0.00 |
| 3075F |
|
50 |
44 |
$0.00 |
| 92551 |
|
241 |
239 |
$0.00 |
| 3079F |
|
90 |
84 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90651 |
|
42 |
41 |
$0.00 |
| 1036F |
|
123 |
104 |
$0.00 |
| 3044F |
|
33 |
29 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |