| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,319 |
11,201 |
$470K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
856 |
813 |
$271K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
701 |
609 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,121 |
1,062 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,033 |
975 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,202 |
1,663 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,752 |
2,578 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
369 |
366 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,497 |
1,453 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
175 |
$11K |
| 90461 |
|
921 |
892 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
357 |
353 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
81 |
$5K |
| 87420 |
|
506 |
473 |
$4K |
| 99173 |
|
128 |
118 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
58 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
36 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
109 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
206 |
168 |
$2K |
| 99460 |
|
40 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$416.30 |
| 94010 |
|
16 |
15 |
$275.74 |
| 92558 |
|
41 |
40 |
$266.16 |
| 80061 |
Lipid panel |
24 |
24 |
$183.16 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$67.60 |
| 90686 |
|
82 |
81 |
$58.30 |
| 36416 |
|
86 |
86 |
$39.24 |
| 87070 |
|
17 |
17 |
$6.47 |
| 90677 |
|
33 |
33 |
$0.10 |
| 90670 |
|
103 |
101 |
$0.05 |
| 90648 |
|
51 |
50 |
$0.05 |
| 90680 |
|
41 |
41 |
$0.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
302 |
285 |
$0.01 |
| 90723 |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,151 |
1,007 |
$0.00 |
| A4617 |
Mouth piece |
135 |
119 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
70 |
67 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
12 |
$0.00 |