| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,245 |
10,675 |
$388K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,008 |
2,669 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,163 |
1,115 |
$94K |
| 99444 |
|
1,572 |
433 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,234 |
2,090 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,041 |
959 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,269 |
2,030 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,964 |
1,386 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
359 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,651 |
1,543 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,337 |
2,179 |
$11K |
| 99000 |
|
1,133 |
1,006 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,286 |
1,218 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
66 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
361 |
$3K |
| 90461 |
|
813 |
278 |
$2K |
| 81003 |
|
2,140 |
2,007 |
$2K |
| 96160 |
|
1,506 |
1,446 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 99050 |
|
115 |
102 |
$1K |
| 97169 |
|
39 |
36 |
$840.00 |
| 99497 |
|
92 |
92 |
$753.44 |
| 0071A |
|
16 |
16 |
$520.00 |
| 99457 |
|
153 |
132 |
$504.17 |
| 90661 |
|
42 |
38 |
$354.97 |
| 99458 |
|
64 |
60 |
$290.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$273.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
33 |
$268.34 |
| 90756 |
|
49 |
40 |
$234.81 |
| 90686 |
|
789 |
751 |
$19.59 |
| 90688 |
|
165 |
163 |
$17.46 |
| 90651 |
|
64 |
58 |
$0.02 |
| 90715 |
|
30 |
25 |
$0.02 |
| 91301 |
|
46 |
45 |
$0.01 |
| 90621 |
|
61 |
57 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
1,343 |
1,209 |
$0.00 |
| 36416 |
|
187 |
158 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
52 |
$0.00 |
| 99056 |
|
23 |
15 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
16 |
$0.00 |
| 90733 |
|
32 |
30 |
$0.00 |
| 1111F |
|
23 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$0.00 |
| 96127 |
|
17 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 91307 |
|
24 |
19 |
$0.00 |
| 90650 |
|
18 |
18 |
$0.00 |
| 90670 |
|
67 |
67 |
$0.00 |
| G9509 |
Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| 99051 |
|
17 |
17 |
$0.00 |
| 90649 |
|
45 |
45 |
$0.00 |
| 99397 |
|
18 |
18 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |