| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
513 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
496 |
281 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
99 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
573 |
245 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
125 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
652 |
302 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
448 |
210 |
$5K |
| 96161 |
|
347 |
200 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
57 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
69 |
$2K |
| 90474 |
|
220 |
110 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$884.70 |
| 81025 |
|
282 |
131 |
$655.20 |
| 90686 |
|
65 |
47 |
$291.78 |
| 36416 |
|
261 |
104 |
$125.49 |
| 87210 |
|
55 |
25 |
$112.47 |
| 81001 |
|
260 |
114 |
$104.71 |
| 92551 |
|
38 |
12 |
$84.78 |
| 85018 |
|
74 |
31 |
$78.28 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$59.97 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
37 |
$32.91 |
| 81003 |
|
37 |
35 |
$19.26 |
| 81002 |
|
198 |
88 |
$6.66 |
| 99000 |
|
406 |
161 |
$0.00 |
| 90723 |
|
158 |
78 |
$0.00 |
| 90680 |
|
220 |
110 |
$0.00 |
| 0502F |
|
475 |
217 |
$0.00 |
| 90670 |
|
338 |
159 |
$0.00 |
| 90633 |
|
68 |
24 |
$0.00 |
| 90648 |
|
250 |
114 |
$0.00 |