| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,164 |
3,769 |
$128K |
| S8301 |
Infection control supplies, not otherwise specified |
3,177 |
2,942 |
$91K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,904 |
1,821 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
385 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,848 |
1,767 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
332 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,768 |
841 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
222 |
210 |
$16K |
| 87809 |
|
712 |
683 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,617 |
615 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
133 |
$9K |
| 99429 |
|
250 |
247 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
698 |
666 |
$4K |
| 90461 |
|
394 |
319 |
$3K |
| 87807 |
|
254 |
241 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
365 |
287 |
$2K |
| 99000 |
|
254 |
245 |
$2K |
| 81002 |
|
488 |
469 |
$1K |
| 96161 |
|
88 |
80 |
$128.57 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
216 |
214 |
$55.20 |
| 90680 |
|
43 |
42 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
199 |
197 |
$0.00 |
| 99406 |
|
129 |
113 |
$0.00 |
| 97802 |
|
212 |
210 |
$0.00 |
| 90686 |
|
81 |
77 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90672 |
|
117 |
115 |
$0.00 |
| 90648 |
|
59 |
59 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 90734 |
|
19 |
17 |
$0.00 |