| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,342 |
10,548 |
$436K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,314 |
1,116 |
$43K |
| 87428 |
|
394 |
366 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,198 |
1,975 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
549 |
497 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
457 |
396 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,807 |
809 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
189 |
$12K |
| 92551 |
|
1,333 |
1,195 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
114 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
99 |
$7K |
| 99173 |
|
1,294 |
1,164 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
305 |
294 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
63 |
$3K |
| 81003 |
|
2,231 |
1,942 |
$3K |
| 90686 |
|
254 |
232 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$894.87 |
| 90688 |
|
141 |
140 |
$835.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
12 |
$802.15 |
| 36415 |
Collection of venous blood by venipuncture |
472 |
411 |
$655.33 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
125 |
109 |
$536.05 |
| 87807 |
|
49 |
46 |
$391.15 |
| 99490 |
Ccm add 20min |
13 |
12 |
$94.85 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
12 |
$35.03 |
| 3725F |
|
171 |
158 |
$0.00 |