| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,892 |
4,982 |
$394K |
| 95024 |
|
167 |
101 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
913 |
794 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
762 |
686 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
668 |
600 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
317 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
219 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
166 |
102 |
$23K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
142 |
27 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
969 |
834 |
$12K |
| 90461 |
|
433 |
365 |
$7K |
| 69210 |
|
143 |
96 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
172 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
64 |
60 |
$2K |
| 87428 |
|
88 |
85 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
261 |
188 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
300 |
231 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
19 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$852.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$584.96 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
954 |
659 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
579 |
269 |
$0.00 |
| 3008F |
|
1,957 |
1,018 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
337 |
58 |
$0.00 |
| 90670 |
|
44 |
39 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |