| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
62,348 |
23,503 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,481 |
3,514 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,845 |
3,940 |
$220K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
313 |
262 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
72 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
56 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
428 |
348 |
$5K |
| 99443 |
|
108 |
86 |
$2K |
| 90686 |
|
465 |
311 |
$2K |
| 96127 |
|
471 |
424 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
935 |
744 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
57 |
$660.85 |
| 92552 |
|
449 |
402 |
$459.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$381.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
25 |
$353.25 |
| 99173 |
|
486 |
437 |
$163.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$115.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$59.85 |
| 3074F |
|
1,048 |
884 |
$0.05 |
| 3078F |
|
772 |
631 |
$0.02 |
| 3079F |
|
206 |
178 |
$0.01 |
| 3075F |
|
87 |
65 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
30 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,326 |
1,070 |
$0.00 |
| G9920 |
Screening performed and negative |
41 |
40 |
$0.00 |