| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,938 |
9,219 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
429 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
587 |
554 |
$17K |
| 90682 |
|
166 |
166 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
522 |
515 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
606 |
586 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$6K |
| 90677 |
|
19 |
19 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
494 |
482 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$4K |
| 81003 |
|
1,672 |
1,635 |
$3K |
| 90688 |
|
260 |
257 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
263 |
251 |
$2K |
| 90715 |
|
49 |
48 |
$1K |
| 93000 |
|
161 |
160 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
199 |
199 |
$1K |
| 90686 |
|
106 |
106 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$884.88 |
| 36415 |
Collection of venous blood by venipuncture |
366 |
361 |
$848.29 |
| 90651 |
|
12 |
12 |
$699.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$463.60 |
| 99441 |
|
16 |
15 |
$102.74 |
| 82044 |
|
13 |
13 |
$58.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$30.00 |
| 2010F |
|
2,605 |
2,462 |
$2.23 |
| 3075F |
|
614 |
596 |
$2.23 |
| 3079F |
|
884 |
853 |
$2.23 |
| 1159F |
|
2,593 |
2,453 |
$2.23 |
| 3008F |
|
2,585 |
2,444 |
$0.00 |
| 3074F |
|
1,761 |
1,687 |
$0.00 |
| 3044F |
|
69 |
69 |
$0.00 |
| 1125F |
|
455 |
438 |
$0.00 |
| 2001F |
|
2,610 |
2,465 |
$0.00 |
| 1126F |
|
444 |
432 |
$0.00 |
| 3351F |
|
18 |
18 |
$0.00 |
| 1036F |
|
28 |
28 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
32 |
32 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
16 |
$0.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| 3725F |
|
2,456 |
2,413 |
$0.00 |
| 1033F |
|
1,554 |
1,487 |
$0.00 |
| 3078F |
|
1,521 |
1,460 |
$0.00 |
| 1032F |
|
408 |
393 |
$0.00 |
| 3288F |
|
27 |
26 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
56 |
56 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |