| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,584 |
5,801 |
$343K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
523 |
478 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
99 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
672 |
312 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
234 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
43 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
93 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
95 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
38 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
15 |
$551.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
27 |
$373.23 |
| 92558 |
|
333 |
236 |
$95.80 |
| 3074F |
|
3,564 |
3,022 |
$0.00 |
| 3008F |
|
958 |
767 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
328 |
265 |
$0.00 |
| 36416 |
|
37 |
27 |
$0.00 |
| 3078F |
|
3,178 |
2,700 |
$0.00 |
| 99173 |
|
213 |
162 |
$0.00 |
| 99072 |
|
16 |
14 |
$0.00 |
| 99051 |
|
16 |
13 |
$0.00 |