| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,199 |
1,128 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
529 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
960 |
953 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
196 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
142 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
166 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$13K |
| 92587 |
|
564 |
561 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
903 |
894 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
260 |
253 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
169 |
166 |
$7K |
| 92551 |
|
413 |
413 |
$5K |
| 90461 |
|
179 |
178 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
154 |
$3K |
| 90677 |
|
12 |
12 |
$3K |
| 99406 |
|
190 |
190 |
$3K |
| 81000 |
|
356 |
354 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
83 |
$981.44 |
| 99051 |
|
130 |
122 |
$829.42 |
| 99354 |
|
13 |
12 |
$733.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$169.26 |
| 96160 |
|
135 |
135 |
$157.44 |
| 90670 |
|
30 |
30 |
$105.00 |
| 99072 |
|
373 |
362 |
$32.40 |
| 99173 |
|
30 |
30 |
$24.71 |
| 90648 |
|
41 |
41 |
$22.50 |
| 90686 |
|
293 |
293 |
$19.58 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$13.77 |
| 94760 |
|
122 |
118 |
$12.19 |
| 96127 |
|
93 |
93 |
$0.00 |
| 99000 |
|
101 |
101 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
96 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 99080 |
|
1,319 |
438 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| 99177 |
|
50 |
50 |
$0.00 |
| 90713 |
|
19 |
19 |
$0.00 |