| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,881 |
11,191 |
$722K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,240 |
1,190 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,146 |
1,144 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,029 |
1,029 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,353 |
1,351 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
614 |
613 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,511 |
2,505 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
294 |
294 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
892 |
891 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
288 |
286 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
566 |
280 |
$7K |
| H0049 |
Alcohol and/or drug screening |
401 |
401 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
159 |
$6K |
| 90461 |
|
165 |
164 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
385 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
396 |
391 |
$3K |
| 96127 |
|
616 |
612 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
274 |
274 |
$2K |
| 0071A |
|
38 |
38 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
126 |
125 |
$2K |
| 99177 |
|
1,999 |
1,999 |
$827.71 |
| 0072A |
|
16 |
16 |
$792.05 |
| 87807 |
|
55 |
55 |
$506.86 |
| 90686 |
|
1,749 |
1,748 |
$348.87 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
66 |
$333.81 |
| 81000 |
|
73 |
72 |
$282.98 |
| 83655 |
|
17 |
17 |
$184.09 |
| 96161 |
|
105 |
102 |
$105.59 |
| 90656 |
|
75 |
75 |
$44.70 |
| 85018 |
|
19 |
19 |
$35.86 |
| 99173 |
|
842 |
842 |
$7.37 |
| 94760 |
|
1,047 |
987 |
$0.00 |
| 90698 |
|
136 |
136 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| 90680 |
|
89 |
89 |
$0.00 |
| 36416 |
|
133 |
132 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 99080 |
|
3,361 |
3,332 |
$0.00 |
| 99072 |
|
77 |
73 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
229 |
229 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |