| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99382 |
|
1,461 |
1,442 |
$125K |
| S8301 |
Infection control supplies, not otherwise specified |
6,414 |
5,537 |
$104K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,513 |
2,099 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,489 |
1,286 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,243 |
1,873 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,373 |
1,066 |
$26K |
| 83655 |
|
1,643 |
1,621 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
185 |
163 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,832 |
1,808 |
$15K |
| 87428 |
|
190 |
137 |
$9K |
| 99383 |
|
89 |
89 |
$7K |
| 87400 |
|
640 |
291 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
87 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,440 |
1,238 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
61 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
66 |
61 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
143 |
$4K |
| 87430 |
|
316 |
291 |
$4K |
| 99000 |
|
229 |
199 |
$2K |
| 99429 |
|
729 |
726 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
128 |
$2K |
| 80061 |
Lipid panel |
233 |
207 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
183 |
160 |
$880.01 |
| 81000 |
|
362 |
334 |
$726.04 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$722.84 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$696.79 |
| 90674 |
|
34 |
31 |
$236.38 |
| 82947 |
|
686 |
461 |
$165.17 |
| 99497 |
|
36 |
27 |
$69.46 |
| 82044 |
|
33 |
24 |
$63.01 |
| 99072 |
|
166 |
139 |
$45.00 |
| 81003 |
|
176 |
138 |
$2.59 |
| 3008F |
|
804 |
641 |
$0.00 |
| 3075F |
|
234 |
177 |
$0.00 |
| 1126F |
|
108 |
99 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
28 |
$0.00 |
| 1125F |
|
199 |
173 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
194 |
167 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
496 |
411 |
$0.00 |
| 96127 |
|
33 |
28 |
$0.00 |
| 36416 |
|
147 |
111 |
$0.00 |
| 97802 |
|
18 |
16 |
$0.00 |
| 2000F |
|
166 |
141 |
$0.00 |
| 3074F |
|
412 |
348 |
$0.00 |
| 1157F |
|
31 |
27 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
16 |
$0.00 |
| 3352F |
|
91 |
82 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
86 |
74 |
$0.00 |
| 99406 |
|
20 |
16 |
$0.00 |
| 3351F |
|
102 |
93 |
$0.00 |
| 1031F |
|
113 |
104 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 1160F |
|
679 |
541 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
113 |
95 |
$0.00 |
| 1159F |
|
676 |
538 |
$0.00 |
| 3078F |
|
654 |
526 |
$0.00 |
| 1033F |
|
102 |
93 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
139 |
120 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |