| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,513 |
2,826 |
$123K |
| 87428 |
|
1,543 |
1,465 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
898 |
876 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
730 |
711 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
474 |
455 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
597 |
537 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
979 |
925 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,283 |
1,218 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
753 |
685 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
115 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
536 |
260 |
$7K |
| 87631 |
|
88 |
79 |
$7K |
| 97803 |
|
2,803 |
2,725 |
$7K |
| 99000 |
|
152 |
136 |
$1K |
| 87807 |
|
123 |
115 |
$1K |
| 96160 |
|
1,258 |
1,221 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
190 |
171 |
$772.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
67 |
$436.19 |
| 99443 |
|
92 |
72 |
$433.58 |
| 81025 |
|
28 |
27 |
$208.89 |
| 81003 |
|
26 |
26 |
$45.14 |
| 81002 |
|
14 |
13 |
$42.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
160 |
142 |
$38.91 |
| 90632 |
|
26 |
26 |
$0.06 |
| 90733 |
|
13 |
13 |
$0.05 |
| 90670 |
|
133 |
123 |
$0.00 |
| 90473 |
|
17 |
13 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,723 |
2,635 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
932 |
907 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 96161 |
|
105 |
102 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
113 |
$0.00 |
| 90647 |
|
40 |
37 |
$0.00 |
| 90680 |
|
18 |
13 |
$0.00 |