| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,192 |
2,735 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,339 |
1,915 |
$120K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
104 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
91 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
167 |
$1K |
| 90658 |
|
107 |
94 |
$953.98 |
| 90674 |
|
32 |
28 |
$942.92 |
| 99443 |
|
68 |
54 |
$750.00 |
| 92551 |
|
69 |
64 |
$589.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
65 |
$572.31 |
| 99423 |
|
14 |
12 |
$90.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
18 |
$37.20 |