| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,397 |
2,036 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,636 |
1,444 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
303 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
284 |
$5K |
| 90686 |
|
384 |
337 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
80 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
22 |
21 |
$367.78 |
| 90651 |
|
15 |
14 |
$300.87 |
| 90734 |
|
27 |
26 |
$299.75 |
| 90633 |
|
14 |
12 |
$156.55 |
| 81002 |
|
38 |
36 |
$97.05 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
186 |
$20.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
96 |
$0.00 |