| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,206 |
1,026 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
356 |
354 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
60 |
$824.06 |
| 99443 |
|
33 |
30 |
$817.89 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
111 |
$684.56 |
| 99401 |
|
512 |
508 |
$620.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
140 |
$609.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$571.77 |
| 99442 |
|
23 |
23 |
$541.44 |
| 99441 |
|
139 |
125 |
$448.69 |
| 85018 |
|
169 |
169 |
$376.31 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
94 |
$292.00 |
| 90461 |
|
53 |
53 |
$260.61 |
| 99173 |
|
234 |
234 |
$62.88 |
| 81002 |
|
173 |
162 |
$60.52 |
| 96127 |
|
95 |
95 |
$59.81 |
| 90686 |
|
132 |
132 |
$38.06 |
| 92587 |
|
124 |
124 |
$26.43 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
151 |
$7.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
300 |
300 |
$2.83 |
| H0001 |
Alcohol and/or drug assessment |
107 |
107 |
$0.13 |
| 97802 |
|
378 |
378 |
$0.04 |
| 87486 |
|
44 |
44 |
$0.02 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
44 |
44 |
$0.02 |
| 1036F |
|
108 |
108 |
$0.00 |
| 1000F |
|
94 |
94 |
$0.00 |
| 3008F |
|
1,101 |
995 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
182 |
177 |
$0.00 |
| 2010F |
|
925 |
843 |
$0.00 |
| 36416 |
|
186 |
186 |
$0.00 |
| 1220F |
|
110 |
110 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$0.00 |
| 2016F |
|
29 |
28 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
27 |
26 |
$0.00 |
| 99000 |
|
26 |
25 |
$0.00 |
| 1005F |
|
29 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
334 |
333 |
$0.00 |
| 3725F |
|
109 |
109 |
$0.00 |
| 3210F |
|
46 |
45 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
106 |
106 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
44 |
44 |
$0.00 |
| 3016F |
|
107 |
107 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |