| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,957 |
4,429 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,319 |
3,028 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,548 |
1,535 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,263 |
1,253 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,252 |
1,139 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,961 |
3,814 |
$81K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,908 |
1,788 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
606 |
603 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,714 |
1,300 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,878 |
2,552 |
$23K |
| 99000 |
|
1,529 |
1,458 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
810 |
777 |
$10K |
| 90461 |
|
2,119 |
1,797 |
$9K |
| 92558 |
|
2,494 |
2,461 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
217 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
321 |
290 |
$5K |
| 81003 |
|
2,392 |
2,361 |
$4K |
| 99177 |
|
2,993 |
2,956 |
$4K |
| 0071A |
|
102 |
100 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$3K |
| 0072A |
|
79 |
78 |
$3K |
| 99381 |
|
63 |
52 |
$3K |
| 99429 |
|
98 |
98 |
$3K |
| 0001A |
|
75 |
69 |
$3K |
| 90480 |
|
80 |
78 |
$2K |
| 0002A |
|
53 |
51 |
$2K |
| 96160 |
|
4,291 |
4,150 |
$2K |
| 96127 |
|
1,161 |
1,017 |
$2K |
| 83655 |
|
110 |
108 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
412 |
326 |
$933.10 |
| 0081A |
|
36 |
24 |
$828.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,967 |
1,875 |
$805.00 |
| 0003A |
|
17 |
16 |
$640.00 |
| 0073A |
|
17 |
17 |
$640.00 |
| 90677 |
|
159 |
157 |
$630.00 |
| 0154A |
|
14 |
14 |
$560.00 |
| 0124A |
|
13 |
13 |
$454.00 |
| 87807 |
|
20 |
20 |
$220.00 |
| 90686 |
|
1,360 |
1,339 |
$105.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
19 |
$101.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$77.37 |
| 99072 |
|
5,655 |
5,261 |
$36.00 |
| 90716 |
|
200 |
197 |
$0.02 |
| 90697 |
|
204 |
201 |
$0.00 |
| 1220F |
|
42 |
41 |
$0.00 |
| 91307 |
|
288 |
268 |
$0.00 |
| 90680 |
|
500 |
493 |
$0.00 |
| 96161 |
|
140 |
98 |
$0.00 |
| 90744 |
|
141 |
133 |
$0.00 |
| 90698 |
|
259 |
254 |
$0.00 |
| 90651 |
|
199 |
198 |
$0.00 |
| 3352F |
|
141 |
140 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 90656 |
|
125 |
125 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 90670 |
|
683 |
669 |
$0.00 |
| 90671 |
|
115 |
115 |
$0.00 |
| 90707 |
|
211 |
208 |
$0.00 |
| 90710 |
|
84 |
83 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 91300 |
|
157 |
145 |
$0.00 |
| 90734 |
|
45 |
45 |
$0.00 |
| 90633 |
|
431 |
424 |
$0.00 |
| 91308 |
|
84 |
62 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |
| 90621 |
|
52 |
52 |
$0.00 |
| 91321 |
|
24 |
24 |
$0.00 |
| 90648 |
|
41 |
41 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |