| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,679 |
3,381 |
$325K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,937 |
1,924 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
320 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
289 |
289 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
258 |
$29K |
| 92552 |
|
1,025 |
1,021 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
365 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,100 |
539 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
322 |
309 |
$9K |
| 86580 |
|
977 |
977 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
553 |
538 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
333 |
333 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
74 |
$996.84 |
| 0071A |
|
19 |
19 |
$794.56 |
| 0072A |
|
16 |
16 |
$686.08 |
| 99051 |
|
84 |
83 |
$447.30 |
| 99173 |
|
1,039 |
1,034 |
$150.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,065 |
1,061 |
$137.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,274 |
1,255 |
$35.00 |
| 90685 |
|
120 |
120 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99072 |
|
301 |
294 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
766 |
761 |
$0.00 |
| 91307 |
|
47 |
47 |
$0.00 |