| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,838 |
5,259 |
$220K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,699 |
1,188 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,173 |
770 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
889 |
711 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
100 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
77 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
132 |
104 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
483 |
366 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
309 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,618 |
1,238 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
105 |
$1K |
| 86328 |
|
27 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$927.72 |
| 96127 |
|
220 |
180 |
$883.62 |
| 99406 |
|
87 |
72 |
$451.60 |
| 99173 |
|
117 |
93 |
$449.70 |
| 3078F |
|
4,141 |
3,192 |
$330.00 |
| 3074F |
|
4,446 |
3,444 |
$330.00 |
| 92552 |
|
21 |
15 |
$252.26 |
| 99408 |
|
62 |
56 |
$244.33 |
| 3079F |
|
809 |
657 |
$140.00 |
| 81002 |
|
71 |
52 |
$104.13 |
| 99490 |
Ccm add 20min |
12 |
12 |
$85.59 |
| 87807 |
|
22 |
14 |
$78.29 |
| 90688 |
|
29 |
14 |
$41.76 |
| 3077F |
|
84 |
65 |
$30.00 |
| 3008F |
|
7,652 |
5,744 |
$20.00 |
| 3075F |
|
210 |
174 |
$20.00 |
| 90670 |
|
21 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
124 |
96 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| 90698 |
|
45 |
26 |
$0.00 |