| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,062 |
4,953 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,400 |
1,366 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,676 |
3,224 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,309 |
1,288 |
$64K |
| 99401 |
|
1,323 |
1,292 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
463 |
445 |
$20K |
| 36410 |
|
591 |
590 |
$7K |
| 0001A |
|
149 |
149 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
62 |
$5K |
| 99406 |
|
646 |
640 |
$4K |
| 0002A |
|
100 |
100 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$3K |
| 90658 |
|
970 |
965 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
37 |
$2K |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
120 |
117 |
$1K |
| 90461 |
|
116 |
112 |
$1K |
| 0072A |
|
23 |
23 |
$874.94 |
| 0071A |
|
19 |
19 |
$707.43 |
| 0003A |
|
15 |
15 |
$585.14 |
| H0001 |
Alcohol and/or drug assessment |
76 |
75 |
$500.00 |
| 91307 |
|
43 |
41 |
$361.35 |
| 83655 |
|
41 |
41 |
$273.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$193.44 |
| 90480 |
|
15 |
15 |
$177.96 |
| 91300 |
|
226 |
209 |
$7.31 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99000 |
|
91 |
91 |
$0.00 |
| 90651 |
|
66 |
66 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |