| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,770 |
1,645 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,577 |
1,439 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,953 |
1,774 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
488 |
473 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
489 |
454 |
$32K |
| 99000 |
|
1,456 |
1,370 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,065 |
889 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
335 |
316 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
187 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
85 |
$3K |
| 92567 |
|
752 |
730 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 90461 |
|
698 |
624 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
29 |
$823.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
57 |
$488.46 |
| 99051 |
|
27 |
25 |
$74.24 |
| 1159F |
|
195 |
178 |
$0.00 |
| 99173 |
|
646 |
631 |
$0.00 |
| 99401 |
|
2,278 |
2,155 |
$0.00 |
| 90670 |
|
220 |
216 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
761 |
666 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
102 |
82 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 3078F |
|
84 |
80 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
58 |
47 |
$0.00 |
| 90671 |
|
63 |
63 |
$0.00 |
| 3074F |
|
89 |
83 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
242 |
205 |
$0.00 |
| 3008F |
|
260 |
235 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
320 |
309 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |
| 90680 |
|
84 |
83 |
$0.00 |
| 90686 |
|
356 |
349 |
$0.00 |
| 90647 |
|
81 |
80 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |