| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,428 |
4,818 |
$466K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,111 |
5,360 |
$348K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,140 |
1,114 |
$64K |
| 90686 |
|
1,171 |
1,123 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,852 |
870 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
182 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
133 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
128 |
$11K |
| 90461 |
|
137 |
136 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
737 |
698 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
222 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
477 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
47 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
132 |
$4K |
| 90734 |
|
28 |
27 |
$2K |
| 81003 |
|
500 |
467 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
124 |
107 |
$1K |
| 90670 |
|
52 |
52 |
$1K |
| 99173 |
|
193 |
185 |
$895.00 |
| 90698 |
|
47 |
46 |
$890.55 |
| 92551 |
|
194 |
188 |
$885.00 |
| 36416 |
|
1,274 |
1,199 |
$791.00 |
| 90672 |
|
26 |
26 |
$514.54 |
| 90685 |
|
24 |
24 |
$501.63 |
| 87807 |
|
32 |
30 |
$330.00 |
| 90651 |
|
14 |
14 |
$277.06 |
| 90715 |
|
12 |
12 |
$237.48 |
| 99000 |
|
275 |
248 |
$3.00 |
| 85018 |
|
13 |
13 |
$0.00 |