| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,925 |
10,383 |
$1.67M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,591 |
1,366 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
890 |
844 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
632 |
552 |
$66K |
| 90461 |
|
633 |
616 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
567 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,760 |
2,563 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
279 |
272 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,442 |
3,883 |
$13K |
| 94010 |
|
4,790 |
3,583 |
$11K |
| 92567 |
|
3,875 |
2,919 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
382 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,470 |
4,479 |
$6K |
| 69210 |
|
30 |
27 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,915 |
5,303 |
$4K |
| 92552 |
|
2,072 |
1,926 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
42 |
40 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,413 |
1,298 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$955.86 |
| 99401 |
|
1,484 |
1,361 |
$915.15 |
| 97802 |
|
2,089 |
1,944 |
$598.17 |
| 90670 |
|
259 |
255 |
$360.10 |
| 96161 |
|
257 |
208 |
$307.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
42 |
$306.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$304.10 |
| 0001A |
|
28 |
28 |
$125.64 |
| 99173 |
|
1,453 |
1,314 |
$75.70 |
| 36416 |
|
5,979 |
4,584 |
$27.52 |
| 82247 |
|
105 |
94 |
$18.21 |
| 82565 |
|
105 |
94 |
$18.21 |
| 80051 |
|
104 |
94 |
$15.80 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
46 |
$15.00 |
| 82947 |
|
91 |
81 |
$11.37 |
| 90686 |
|
257 |
240 |
$6.48 |
| 81003 |
|
32 |
27 |
$2.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,562 |
1,411 |
$0.00 |
| 96127 |
|
207 |
187 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
155 |
140 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,583 |
1,439 |
$0.00 |
| 99000 |
|
770 |
694 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |
| 90680 |
|
38 |
36 |
$0.00 |
| 90744 |
|
27 |
26 |
$0.00 |
| 90651 |
|
41 |
40 |
$0.00 |
| 90713 |
|
172 |
169 |
$0.00 |
| 90700 |
|
315 |
304 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
126 |
112 |
$0.00 |
| 90648 |
|
171 |
167 |
$0.00 |
| 91300 |
|
32 |
32 |
$0.00 |
| 90633 |
|
79 |
77 |
$0.00 |
| 90672 |
|
38 |
38 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| 90734 |
|
17 |
16 |
$0.00 |