| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
604 |
543 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
191 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
217 |
210 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
214 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
624 |
293 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
48 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 99000 |
|
179 |
171 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
160 |
$2K |
| 87428 |
|
14 |
14 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
168 |
153 |
$993.75 |
| 90461 |
|
125 |
95 |
$859.17 |
| 99001 |
|
154 |
146 |
$728.19 |
| 92587 |
|
144 |
139 |
$594.64 |
| 96160 |
|
865 |
466 |
$579.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$401.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$361.74 |
| 92551 |
|
156 |
151 |
$291.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
67 |
$191.04 |
| 99051 |
|
25 |
25 |
$44.10 |
| 90686 |
|
69 |
68 |
$0.00 |
| 99070 |
|
116 |
110 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
147 |
144 |
$0.00 |
| 99173 |
|
137 |
133 |
$0.00 |
| 99177 |
|
92 |
91 |
$0.00 |
| 1033F |
|
816 |
737 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |