| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,206 |
4,944 |
$517K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,889 |
3,710 |
$278K |
| 36415 |
Collection of venous blood by venipuncture |
1,169 |
1,147 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
93 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
112 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
56 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
76 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
95 |
$779.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$628.92 |
| 96127 |
|
76 |
73 |
$319.60 |
| 99051 |
|
41 |
40 |
$260.91 |
| 90686 |
|
80 |
79 |
$136.61 |
| 99173 |
|
18 |
18 |
$41.58 |