| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,081 |
961 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,425 |
1,258 |
$102K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
819 |
741 |
$36K |
| 92588 |
|
1,119 |
1,111 |
$35K |
| 87428 |
|
409 |
384 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,598 |
1,565 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
298 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
268 |
$23K |
| 90461 |
|
1,906 |
733 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,245 |
1,233 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
159 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
456 |
398 |
$10K |
| 90670 |
|
54 |
52 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$7K |
| 90677 |
|
30 |
30 |
$6K |
| 92587 |
|
195 |
194 |
$4K |
| 90698 |
|
42 |
39 |
$3K |
| 90686 |
|
194 |
193 |
$3K |
| 99174 |
|
220 |
219 |
$2K |
| 96127 |
|
220 |
219 |
$1K |
| 0071A |
|
16 |
15 |
$742.99 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
13 |
13 |
$163.77 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$84.72 |
| G9920 |
Screening performed and negative |
743 |
732 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
74 |
$0.00 |