| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,351 |
1,743 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
545 |
495 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
46 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
93 |
$4K |
| 92587 |
|
278 |
221 |
$4K |
| 87449 |
|
179 |
153 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
110 |
$2K |
| 96127 |
|
138 |
115 |
$2K |
| 96160 |
|
89 |
84 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
42 |
$851.88 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
61 |
$395.46 |
| 1159F |
|
2,955 |
2,025 |
$0.00 |
| 1003F |
|
356 |
281 |
$0.00 |
| 3078F |
|
2,197 |
1,590 |
$0.00 |
| 1160F |
|
2,957 |
2,025 |
$0.00 |
| 4120F |
|
15 |
15 |
$0.00 |
| 1033F |
|
12 |
12 |
$0.00 |
| 3210F |
|
89 |
77 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
13 |
$0.00 |
| 3074F |
|
2,193 |
1,588 |
$0.00 |
| 3351F |
|
45 |
41 |
$0.00 |
| 1036F |
|
657 |
476 |
$0.00 |
| 1220F |
|
60 |
54 |
$0.00 |