| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,688 |
13,279 |
$995K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,701 |
6,768 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
860 |
850 |
$75K |
| 17110 |
|
721 |
712 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
712 |
710 |
$64K |
| 99215 |
Prolong outpt/office vis |
569 |
536 |
$49K |
| 69210 |
|
1,087 |
991 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
266 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
211 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
496 |
415 |
$19K |
| 99205 |
Prolong outpt/office vis |
144 |
136 |
$16K |
| 81002 |
|
4,217 |
3,945 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
148 |
$12K |
| 94760 |
|
11,763 |
9,080 |
$10K |
| 95923 |
|
126 |
118 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,786 |
2,673 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
243 |
236 |
$7K |
| 95921 |
|
124 |
117 |
$6K |
| 93923 |
|
67 |
64 |
$5K |
| 92551 |
|
671 |
629 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
363 |
318 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
486 |
430 |
$3K |
| 99423 |
|
72 |
67 |
$3K |
| 99497 |
|
67 |
62 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
85 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
75 |
$2K |
| 99173 |
|
720 |
668 |
$1K |
| 99397 |
|
29 |
26 |
$1K |
| 99000 |
|
592 |
565 |
$913.78 |
| 36410 |
|
120 |
101 |
$859.06 |
| 90686 |
|
56 |
55 |
$622.24 |
| 93000 |
|
58 |
55 |
$531.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
41 |
$494.94 |
| 90688 |
|
37 |
37 |
$491.12 |
| 82962 |
|
19 |
17 |
$34.27 |
| 3008F |
|
1,335 |
1,026 |
$0.00 |
| 3075F |
|
520 |
384 |
$0.00 |
| 3079F |
|
472 |
353 |
$0.00 |
| 1170F |
|
1,187 |
898 |
$0.00 |
| 1125F |
|
1,166 |
910 |
$0.00 |
| 1220F |
|
948 |
744 |
$0.00 |
| 1101F |
|
908 |
697 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
27 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |
| 1160F |
|
1,328 |
1,036 |
$0.00 |
| 1159F |
|
752 |
580 |
$0.00 |
| 1158F |
|
14 |
14 |
$0.00 |
| 3078F |
|
16 |
14 |
$0.00 |