| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,489 |
4,038 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,965 |
1,823 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
705 |
637 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
647 |
621 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
966 |
911 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,157 |
1,497 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
535 |
513 |
$39K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,138 |
1,066 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
182 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
898 |
858 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
252 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,074 |
868 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
63 |
$5K |
| 99000 |
|
356 |
339 |
$4K |
| 90461 |
|
801 |
715 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
652 |
625 |
$2K |
| 92551 |
|
733 |
721 |
$899.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
70 |
$838.99 |
| 99072 |
|
298 |
271 |
$79.20 |
| 81002 |
|
29 |
26 |
$75.37 |
| 96161 |
|
174 |
162 |
$42.13 |
| 90686 |
|
208 |
203 |
$19.39 |
| 85018 |
|
65 |
64 |
$6.27 |
| 90688 |
|
262 |
257 |
$0.49 |
| 90619 |
|
17 |
16 |
$0.11 |
| 90700 |
|
461 |
451 |
$0.03 |
| 1031F |
|
7,693 |
6,680 |
$0.00 |
| 36416 |
|
394 |
367 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
483 |
468 |
$0.00 |
| 90744 |
|
78 |
75 |
$0.00 |
| 90716 |
|
69 |
68 |
$0.00 |
| 96127 |
|
319 |
271 |
$0.00 |
| 90680 |
|
251 |
244 |
$0.00 |
| 99070 |
|
105 |
96 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
87 |
85 |
$0.00 |
| 99174 |
|
192 |
191 |
$0.00 |
| 90651 |
|
19 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$0.00 |
| 90670 |
|
357 |
352 |
$0.00 |
| 90648 |
|
430 |
420 |
$0.00 |
| 99173 |
|
759 |
747 |
$0.00 |
| 90707 |
|
73 |
71 |
$0.00 |
| 3210F |
|
123 |
119 |
$0.00 |
| 90713 |
|
266 |
260 |
$0.00 |
| 90633 |
|
155 |
152 |
$0.00 |
| 90671 |
|
81 |
61 |
$0.00 |
| 96160 |
|
185 |
104 |
$0.00 |