| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,234 |
8,032 |
$288K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,502 |
5,420 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,179 |
1,174 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,483 |
1,475 |
$48K |
| 99442 |
|
954 |
853 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,108 |
1,102 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
590 |
573 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,562 |
1,531 |
$12K |
| 92551 |
|
3,244 |
3,234 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
310 |
305 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,987 |
1,978 |
$5K |
| 99173 |
|
2,525 |
2,507 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
121 |
118 |
$4K |
| 90461 |
|
1,089 |
1,076 |
$3K |
| 90686 |
|
3,005 |
2,981 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
701 |
700 |
$2K |
| 92567 |
|
105 |
91 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,296 |
2,247 |
$1K |
| 99441 |
|
44 |
40 |
$976.58 |
| 36410 |
|
771 |
759 |
$744.86 |
| 90621 |
|
27 |
27 |
$490.75 |
| 86580 |
|
42 |
41 |
$240.88 |
| 90619 |
|
25 |
25 |
$142.64 |
| 99401 |
|
48 |
48 |
$99.90 |
| 90685 |
|
119 |
118 |
$84.30 |
| H0001 |
Alcohol and/or drug assessment |
523 |
522 |
$80.35 |
| 36406 |
|
13 |
13 |
$51.65 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,271 |
1,259 |
$27.00 |
| 90700 |
|
13 |
13 |
$25.00 |
| 99072 |
|
4,545 |
4,035 |
$2.00 |
| 3008F |
|
823 |
822 |
$0.00 |
| 1000F |
|
458 |
458 |
$0.00 |
| 1036F |
|
483 |
483 |
$0.00 |
| 90651 |
|
193 |
192 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 3725F |
|
574 |
574 |
$0.00 |
| G9818 |
Documentation of sexual activity |
491 |
491 |
$0.00 |
| 3016F |
|
438 |
438 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
127 |
127 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
703 |
694 |
$0.00 |
| 90670 |
|
90 |
90 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90734 |
|
74 |
69 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |