| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,212 |
3,886 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,183 |
1,030 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,486 |
1,424 |
$35K |
| 99401 |
|
1,092 |
973 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
367 |
332 |
$14K |
| 99443 |
|
175 |
157 |
$12K |
| 99442 |
|
177 |
163 |
$10K |
| 92587 |
|
378 |
371 |
$8K |
| 99441 |
|
207 |
192 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
89 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
84 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
310 |
288 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
148 |
143 |
$1K |
| 92567 |
|
91 |
91 |
$751.33 |
| 99422 |
|
21 |
13 |
$544.59 |
| 99173 |
|
445 |
443 |
$323.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
20 |
$317.35 |
| 92568 |
|
26 |
26 |
$259.85 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
183 |
179 |
$256.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$141.48 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
333 |
$134.59 |
| 90656 |
|
16 |
16 |
$38.70 |
| 90686 |
|
106 |
106 |
$20.53 |
| 3008F |
|
59 |
51 |
$0.00 |
| 99072 |
|
219 |
208 |
$0.00 |