| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,268 |
1,146 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
830 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
498 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,158 |
1,129 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
420 |
415 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
329 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
129 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
190 |
174 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
105 |
98 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
109 |
$4K |
| 99188 |
|
171 |
166 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
118 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
202 |
$2K |
| 96161 |
|
304 |
301 |
$893.20 |
| 96127 |
|
226 |
212 |
$864.93 |
| 96160 |
|
325 |
314 |
$847.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
41 |
$824.55 |
| 94760 |
|
79 |
74 |
$643.54 |
| 81003 |
|
220 |
213 |
$572.92 |
| 85018 |
|
75 |
73 |
$195.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$149.49 |
| 92551 |
|
131 |
129 |
$81.51 |
| 99173 |
|
139 |
137 |
$68.28 |
| 82465 |
|
15 |
14 |
$34.17 |
| 82947 |
|
15 |
14 |
$30.83 |
| 5250F |
|
143 |
135 |
$0.00 |
| 90670 |
|
338 |
335 |
$0.00 |
| 90461 |
|
599 |
593 |
$0.00 |
| 90648 |
|
164 |
164 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |
| 99080 |
|
141 |
138 |
$0.00 |
| 90633 |
|
92 |
89 |
$0.00 |
| 3725F |
|
41 |
40 |
$0.00 |
| 36416 |
|
95 |
93 |
$0.00 |
| 99000 |
|
206 |
192 |
$0.00 |
| 90698 |
|
156 |
155 |
$0.00 |
| 90686 |
|
346 |
334 |
$0.00 |
| 90723 |
|
74 |
74 |
$0.00 |
| 90680 |
|
160 |
160 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
182 |
179 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
296 |
292 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90744 |
|
40 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
44 |
$0.00 |