| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,027 |
4,660 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,030 |
1,022 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
663 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
69 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
73 |
$2K |
| 99188 |
|
141 |
140 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$905.40 |
| 99173 |
|
39 |
39 |
$190.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$60.00 |
| 90686 |
|
421 |
420 |
$19.58 |
| 36415 |
Collection of venous blood by venipuncture |
305 |
287 |
$6.00 |
| 90662 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
25 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |