| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,823 |
13,469 |
$685K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,395 |
3,158 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
359 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
237 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
158 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,217 |
2,127 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
53 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
114 |
110 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$3K |
| 90658 |
|
50 |
50 |
$1K |
| 0011A |
|
34 |
32 |
$1K |
| 90686 |
|
121 |
120 |
$1K |
| 0012A |
|
28 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
18 |
$210.84 |
| 90648 |
|
12 |
12 |
$195.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
765 |
746 |
$170.86 |
| 90680 |
|
12 |
12 |
$77.56 |
| 90715 |
|
15 |
15 |
$53.64 |
| 90732 |
|
32 |
32 |
$22.23 |
| 99173 |
|
16 |
16 |
$21.84 |
| 91301 |
|
64 |
61 |
$0.00 |
| 99072 |
|
1,080 |
980 |
$0.00 |