| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,135 |
1,062 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,246 |
2,218 |
$69K |
| 90671 |
|
138 |
138 |
$29K |
| 90461 |
|
904 |
900 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
341 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
306 |
306 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
319 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,703 |
1,554 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
216 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
219 |
206 |
$12K |
| 97802 |
|
419 |
417 |
$10K |
| 90697 |
|
86 |
86 |
$10K |
| 92551 |
|
721 |
717 |
$9K |
| 99406 |
|
422 |
421 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
35 |
$5K |
| 0072A |
|
57 |
56 |
$2K |
| 0071A |
|
40 |
38 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
137 |
137 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$992.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
64 |
$958.83 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$828.97 |
| 99441 |
|
16 |
16 |
$748.36 |
| 0002A |
|
16 |
16 |
$644.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$570.94 |
| 99401 |
|
26 |
26 |
$550.39 |
| 0004A |
|
13 |
13 |
$522.88 |
| 90686 |
|
201 |
201 |
$168.97 |
| 90688 |
|
140 |
138 |
$137.16 |
| 90670 |
|
99 |
99 |
$124.95 |
| 90715 |
|
26 |
26 |
$116.11 |
| 90656 |
|
93 |
93 |
$88.22 |
| 96127 |
|
383 |
380 |
$60.00 |
| 90633 |
|
64 |
64 |
$53.55 |
| 36415 |
Collection of venous blood by venipuncture |
818 |
804 |
$43.87 |
| 96161 |
|
47 |
39 |
$43.26 |
| 99173 |
|
337 |
335 |
$1.93 |
| 91307 |
|
98 |
85 |
$0.90 |
| 91300 |
|
53 |
44 |
$0.40 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
490 |
490 |
$0.00 |
| 90734 |
|
53 |
53 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
248 |
248 |
$0.00 |
| 3008F |
|
943 |
932 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
52 |
52 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 99000 |
|
140 |
137 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |