| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,779 |
3,360 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,366 |
3,071 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,248 |
4,854 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,224 |
2,953 |
$138K |
| 99215 |
Prolong outpt/office vis |
787 |
700 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,170 |
1,048 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
977 |
921 |
$23K |
| 90670 |
|
1,186 |
1,137 |
$14K |
| 92551 |
|
1,973 |
1,807 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
526 |
498 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
235 |
224 |
$11K |
| 90686 |
|
800 |
734 |
$10K |
| 90723 |
|
827 |
793 |
$10K |
| 90647 |
|
809 |
770 |
$9K |
| 94760 |
|
687 |
646 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
913 |
839 |
$9K |
| 90681 |
|
449 |
437 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
91 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
313 |
$4K |
| 90633 |
|
291 |
275 |
$3K |
| 96127 |
|
1,154 |
974 |
$3K |
| 90671 |
|
201 |
196 |
$3K |
| 90710 |
|
185 |
177 |
$2K |
| 87807 |
|
151 |
145 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,279 |
1,130 |
$2K |
| 83655 |
|
68 |
59 |
$917.26 |
| 90697 |
|
69 |
68 |
$880.38 |
| 90680 |
|
54 |
53 |
$683.28 |
| 99381 |
|
13 |
12 |
$676.92 |
| 90381 |
|
33 |
30 |
$394.20 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$356.11 |
| 88720 |
|
58 |
51 |
$351.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$306.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$169.92 |
| 99173 |
|
13 |
12 |
$161.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
41 |
$158.26 |
| 81000 |
|
30 |
29 |
$131.08 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
290 |
277 |
$0.00 |
| 96161 |
|
271 |
256 |
$0.00 |
| 96160 |
|
49 |
42 |
$0.00 |
| 99177 |
|
86 |
83 |
$0.00 |