| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
436 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
474 |
450 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
401 |
396 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
241 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
115 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
35 |
$4K |
| 90461 |
|
171 |
169 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
88 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
76 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$1K |
| 99421 |
|
52 |
52 |
$668.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
61 |
$563.00 |
| 99408 |
|
16 |
16 |
$483.75 |
| 85018 |
|
160 |
158 |
$483.28 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
88 |
87 |
$445.50 |
| 99188 |
|
13 |
13 |
$236.25 |
| 99173 |
|
91 |
90 |
$220.07 |
| 96161 |
|
32 |
29 |
$106.50 |
| 92552 |
|
32 |
32 |
$81.17 |
| 96160 |
|
19 |
19 |
$59.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$40.50 |
| 82465 |
|
12 |
12 |
$16.95 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90670 |
|
179 |
178 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 90687 |
|
27 |
27 |
$0.00 |
| 90647 |
|
92 |
92 |
$0.00 |
| 90723 |
|
112 |
111 |
$0.00 |
| 1126F |
|
246 |
239 |
$0.00 |
| 90688 |
|
79 |
78 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |