| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,984 |
5,357 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,772 |
1,566 |
$86K |
| 87428 |
|
700 |
661 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
385 |
371 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
308 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
619 |
575 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,644 |
741 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,081 |
523 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
890 |
829 |
$11K |
| 99000 |
|
724 |
673 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
91 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
473 |
458 |
$6K |
| 92557 |
|
147 |
141 |
$4K |
| 36410 |
|
182 |
175 |
$2K |
| 0001A |
|
65 |
65 |
$2K |
| 90461 |
|
406 |
355 |
$2K |
| 0002A |
|
55 |
55 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
179 |
161 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
62 |
$2K |
| 87420 |
|
149 |
136 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| 99050 |
|
62 |
60 |
$866.52 |
| 92552 |
|
195 |
193 |
$831.26 |
| 81001 |
|
481 |
477 |
$766.08 |
| 0003A |
|
18 |
18 |
$720.00 |
| 0071A |
|
12 |
12 |
$440.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
55 |
$392.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
25 |
$244.20 |
| 80061 |
Lipid panel |
28 |
25 |
$185.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$184.80 |
| 99051 |
|
69 |
67 |
$164.34 |
| 92587 |
|
16 |
14 |
$154.08 |
| 81002 |
|
39 |
39 |
$110.96 |
| 81003 |
|
27 |
26 |
$52.14 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
253 |
249 |
$0.06 |
| 90686 |
|
84 |
84 |
$0.01 |
| 3008F |
|
257 |
253 |
$0.00 |
| 2000F |
|
15 |
15 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 91307 |
|
76 |
64 |
$0.00 |
| 99173 |
|
448 |
436 |
$0.00 |
| 91300 |
|
137 |
125 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |