| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,780 |
5,584 |
$510K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,095 |
2,650 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,036 |
962 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,049 |
976 |
$79K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,472 |
1,371 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,658 |
1,543 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
474 |
411 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,186 |
1,977 |
$34K |
| 96127 |
|
1,696 |
1,556 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,311 |
1,126 |
$16K |
| 90671 |
|
73 |
26 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
136 |
$12K |
| 99173 |
|
1,166 |
1,086 |
$9K |
| 92551 |
|
540 |
480 |
$8K |
| 90670 |
|
212 |
179 |
$7K |
| 90734 |
|
207 |
177 |
$7K |
| 99402 |
|
118 |
65 |
$3K |
| 90686 |
|
287 |
245 |
$3K |
| 90619 |
|
148 |
144 |
$2K |
| 90648 |
|
259 |
218 |
$2K |
| 90620 |
|
112 |
101 |
$2K |
| 90715 |
|
89 |
74 |
$2K |
| 90707 |
|
46 |
39 |
$410.65 |
| 90688 |
|
43 |
39 |
$346.56 |
| 90716 |
|
26 |
26 |
$300.43 |
| 90651 |
|
15 |
15 |
$250.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$241.05 |
| 90633 |
|
15 |
14 |
$224.12 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$57.40 |
| 97802 |
|
74 |
67 |
$25.00 |
| 1036F |
|
1,244 |
1,134 |
$0.00 |
| 91307 |
|
25 |
15 |
$0.00 |
| 4045F |
|
13 |
12 |
$0.00 |
| 4274F |
|
261 |
227 |
$0.00 |
| 3725F |
|
836 |
782 |
$0.00 |
| 3210F |
|
165 |
154 |
$0.00 |
| 1003F |
|
1,843 |
1,708 |
$0.00 |
| 3511F |
|
37 |
36 |
$0.00 |
| 4120F |
|
66 |
60 |
$0.00 |