| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,327 |
29,004 |
$1.26M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14,354 |
13,230 |
$613K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,808 |
5,480 |
$459K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,175 |
4,919 |
$389K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,050 |
3,883 |
$355K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25,617 |
12,057 |
$353K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,154 |
11,988 |
$256K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,092 |
2,813 |
$223K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,252 |
12,446 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,202 |
3,098 |
$79K |
| 92552 |
|
4,651 |
4,519 |
$59K |
| 90461 |
|
8,514 |
5,364 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,918 |
3,751 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
505 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
445 |
443 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,153 |
2,008 |
$14K |
| 87807 |
|
1,176 |
1,080 |
$12K |
| 83655 |
|
1,066 |
910 |
$10K |
| 99381 |
|
115 |
109 |
$9K |
| 96160 |
|
4,893 |
4,678 |
$7K |
| 90651 |
|
1,539 |
1,470 |
$6K |
| 90670 |
|
2,321 |
2,212 |
$3K |
| G8708 |
Patient not prescribed antibiotic |
5,885 |
5,491 |
$3K |
| 90710 |
|
1,664 |
1,579 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$2K |
| 90620 |
|
885 |
827 |
$2K |
| 90681 |
|
772 |
718 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 90734 |
|
1,549 |
1,497 |
$1K |
| 90723 |
|
1,266 |
1,208 |
$642.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$503.55 |
| 90696 |
|
302 |
260 |
$455.00 |
| 81003 |
|
202 |
181 |
$446.18 |
| 90647 |
|
1,049 |
961 |
$437.50 |
| 90633 |
|
1,865 |
1,758 |
$292.96 |
| 90686 |
|
3,943 |
3,849 |
$285.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
14 |
$243.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$190.58 |
| 90715 |
|
365 |
353 |
$136.50 |
| 96161 |
|
33 |
33 |
$38.25 |
| 90700 |
|
288 |
283 |
$23.45 |
| 90677 |
|
559 |
547 |
$0.00 |
| 90698 |
|
135 |
129 |
$0.00 |
| 90656 |
|
392 |
390 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
38 |
31 |
$0.00 |
| 90648 |
|
1,069 |
1,039 |
$0.00 |
| 99173 |
|
6,581 |
6,406 |
$0.00 |
| 90672 |
|
74 |
74 |
$0.00 |