| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
376 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
505 |
505 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
166 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
204 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
68 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
114 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 87070 |
|
92 |
91 |
$1K |
| 96127 |
|
119 |
119 |
$586.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$472.17 |
| 99429 |
|
55 |
29 |
$375.00 |
| 99051 |
|
13 |
13 |
$305.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$126.06 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$90.00 |
| 90686 |
|
140 |
140 |
$19.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
351 |
332 |
$15.33 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |