| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,771 |
7,333 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
957 |
947 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
136 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
75 |
73 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,853 |
3,550 |
$1K |
| 69210 |
|
14 |
12 |
$601.81 |
| 90660 |
|
38 |
38 |
$513.24 |
| 83655 |
|
274 |
274 |
$493.35 |
| 99401 |
|
1,136 |
1,128 |
$167.25 |
| 90686 |
|
87 |
86 |
$87.70 |
| 36415 |
Collection of venous blood by venipuncture |
1,339 |
1,325 |
$26.25 |
| 87110 |
|
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
74 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
627 |
343 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
133 |
133 |
$0.00 |
| 99188 |
|
88 |
88 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
80 |
80 |
$0.00 |
| 86318 |
|
51 |
51 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$0.00 |