| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
902 |
$11K |
| 92587 |
|
1,023 |
1,022 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
240 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
165 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
375 |
374 |
$984.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
69 |
$495.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$472.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$124.32 |
| 90656 |
|
12 |
12 |
$118.80 |
| 90658 |
|
15 |
15 |
$106.83 |
| 99401 |
|
392 |
392 |
$60.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
193 |
193 |
$0.00 |
| 99173 |
|
920 |
920 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
252 |
252 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
252 |
252 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$0.00 |
| 3725F |
|
38 |
38 |
$0.00 |
| 3016F |
|
38 |
38 |
$0.00 |
| 90461 |
|
68 |
68 |
$0.00 |
| 90686 |
|
310 |
310 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
926 |
913 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
138 |
138 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 3008F |
|
74 |
74 |
$0.00 |
| 94760 |
|
33 |
32 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |