| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,518 |
6,559 |
$534K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,413 |
4,961 |
$527K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,140 |
1,870 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,767 |
1,767 |
$147K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,608 |
2,494 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,435 |
2,339 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,963 |
1,957 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,909 |
2,888 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,850 |
4,567 |
$39K |
| 87807 |
|
1,701 |
1,637 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
620 |
602 |
$9K |
| 90474 |
|
457 |
457 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
218 |
213 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
613 |
584 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
54 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
129 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$823.68 |
| H1000 |
Prenatal care, at-risk assessment |
19 |
19 |
$533.90 |
| 90686 |
|
265 |
263 |
$420.03 |
| 81003 |
|
16 |
13 |
$30.00 |
| 90647 |
|
407 |
407 |
$0.00 |
| 90680 |
|
457 |
457 |
$0.00 |
| 90723 |
|
254 |
254 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90648 |
|
83 |
83 |
$0.00 |
| 90670 |
|
855 |
855 |
$0.00 |
| 90633 |
|
99 |
99 |
$0.00 |
| 90710 |
|
134 |
134 |
$0.00 |
| 90671 |
|
81 |
81 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |