| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,655 |
3,947 |
$403K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,135 |
1,758 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,399 |
2,156 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
388 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,338 |
2,047 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
328 |
$31K |
| 99215 |
Prolong outpt/office vis |
231 |
183 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
372 |
322 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
185 |
166 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
26 |
$3K |
| 0072A |
|
26 |
22 |
$1K |
| 99177 |
|
73 |
66 |
$1K |
| 0071A |
|
31 |
19 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
94 |
$951.18 |
| 99000 |
|
254 |
213 |
$478.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
38 |
$415.25 |
| 90461 |
|
368 |
349 |
$390.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$388.15 |
| 90686 |
|
360 |
324 |
$382.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$361.10 |
| 99050 |
|
53 |
48 |
$351.58 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
55 |
$130.57 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
27 |
27 |
$24.00 |
| 91307 |
|
68 |
48 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90658 |
|
38 |
37 |
$0.00 |