| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,419 |
6,165 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,106 |
3,929 |
$368K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,365 |
2,994 |
$107K |
| 92552 |
|
1,419 |
1,407 |
$26K |
| 99173 |
|
1,021 |
1,013 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
191 |
$19K |
| 85013 |
|
2,465 |
2,452 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
465 |
462 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
373 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
144 |
$5K |
| 81002 |
|
1,857 |
1,822 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
187 |
$3K |
| 0072A |
|
70 |
70 |
$3K |
| 0071A |
|
73 |
72 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
104 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
69 |
68 |
$2K |
| S9999 |
Sales tax |
185 |
167 |
$1K |
| 90461 |
|
22 |
14 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$889.96 |
| 0154A |
|
15 |
15 |
$616.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$537.75 |
| 36416 |
|
449 |
445 |
$492.72 |
| 87807 |
|
38 |
37 |
$443.92 |
| 90686 |
|
1,458 |
1,454 |
$270.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$41.62 |
| 91307 |
|
131 |
125 |
$0.17 |
| 90656 |
|
32 |
32 |
$0.16 |
| 90651 |
|
13 |
13 |
$0.05 |
| 91308 |
|
13 |
13 |
$0.00 |
| 91315 |
|
15 |
15 |
$0.00 |