| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,249 |
1,153 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
491 |
454 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
950 |
945 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
286 |
285 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
318 |
312 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
143 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
154 |
$17K |
| 92587 |
|
610 |
610 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
970 |
957 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
290 |
279 |
$13K |
| 90677 |
|
29 |
29 |
$8K |
| 92551 |
|
426 |
425 |
$6K |
| 90461 |
|
216 |
216 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
87 |
81 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
374 |
371 |
$3K |
| 99406 |
|
182 |
181 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
142 |
$2K |
| 81000 |
|
409 |
405 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
52 |
$1K |
| 83655 |
|
106 |
106 |
$1K |
| 99051 |
|
228 |
220 |
$740.50 |
| 86580 |
|
33 |
33 |
$376.86 |
| 96127 |
|
126 |
126 |
$225.19 |
| 96160 |
|
149 |
148 |
$140.74 |
| 99177 |
|
124 |
124 |
$100.00 |
| 36415 |
Collection of venous blood by venipuncture |
314 |
311 |
$42.90 |
| 99072 |
|
581 |
550 |
$24.00 |
| 99000 |
|
112 |
108 |
$20.00 |
| 90686 |
|
332 |
332 |
$17.85 |
| 94760 |
|
194 |
180 |
$15.25 |
| 99173 |
|
24 |
23 |
$10.88 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90713 |
|
61 |
61 |
$0.00 |
| 99080 |
|
2,266 |
556 |
$0.00 |
| 90700 |
|
64 |
64 |
$0.00 |
| 90648 |
|
75 |
75 |
$0.00 |
| 90670 |
|
42 |
42 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 87077 |
|
68 |
68 |
$0.00 |
| 87070 |
|
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
133 |
133 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |