| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,901 |
3,925 |
$148K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,097 |
1,913 |
$71K |
| S8301 |
Infection control supplies, not otherwise specified |
2,886 |
2,505 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
379 |
362 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,029 |
947 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,916 |
1,785 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
113 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
112 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,100 |
420 |
$7K |
| 87809 |
|
274 |
262 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
410 |
386 |
$3K |
| 87807 |
|
157 |
147 |
$2K |
| 90461 |
|
215 |
144 |
$2K |
| 81002 |
|
317 |
297 |
$890.60 |
| 99000 |
|
87 |
79 |
$840.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
25 |
$268.62 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
230 |
230 |
$255.00 |
| 96161 |
|
54 |
49 |
$77.09 |
| 99406 |
|
162 |
136 |
$49.76 |
| 97802 |
|
224 |
224 |
$27.51 |
| S9451 |
Exercise classes, non-physician provider, per session |
224 |
224 |
$0.00 |
| 97169 |
|
31 |
18 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |