| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,210 |
2,961 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
611 |
595 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,200 |
1,130 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
362 |
348 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
359 |
346 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
228 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,682 |
1,619 |
$6K |
| 87428 |
|
228 |
220 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
539 |
519 |
$3K |
| 92558 |
|
992 |
962 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
157 |
152 |
$1K |
| 90686 |
|
466 |
459 |
$802.87 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
138 |
$279.00 |
| 85018 |
|
539 |
526 |
$257.36 |
| 83655 |
|
119 |
117 |
$199.57 |
| 90674 |
|
41 |
40 |
$175.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
121 |
113 |
$112.16 |
| 99173 |
|
1,543 |
1,299 |
$76.70 |
| 96160 |
|
1,158 |
962 |
$73.31 |
| 90474 |
|
39 |
36 |
$55.00 |
| 90681 |
|
34 |
32 |
$50.00 |
| 90633 |
|
119 |
111 |
$25.00 |
| 36416 |
|
567 |
496 |
$5.74 |
| 90670 |
|
160 |
155 |
$0.26 |
| 90715 |
|
12 |
12 |
$0.08 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
904 |
781 |
$0.00 |
| 90710 |
|
47 |
47 |
$0.00 |
| 90734 |
|
66 |
66 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 3046F |
|
92 |
91 |
$0.00 |
| 1160F |
|
69 |
66 |
$0.00 |
| 86703 |
|
13 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$0.00 |
| 99000 |
|
614 |
495 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,621 |
1,332 |
$0.00 |
| 90647 |
|
167 |
161 |
$0.00 |
| 90651 |
|
153 |
151 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
470 |
400 |
$0.00 |
| 90723 |
|
152 |
147 |
$0.00 |
| 90620 |
|
40 |
39 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
14 |
$0.00 |