| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,975 |
2,256 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,471 |
1,751 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
705 |
608 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
262 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
694 |
589 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
417 |
343 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
932 |
833 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
134 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
675 |
567 |
$8K |
| 81002 |
|
2,435 |
2,005 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
56 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
247 |
$5K |
| 90715 |
|
80 |
57 |
$1K |
| 90686 |
|
103 |
88 |
$952.48 |
| 90734 |
|
73 |
54 |
$709.50 |
| 99173 |
|
73 |
57 |
$536.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
20 |
$321.40 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
272 |
$274.04 |
| 1003F |
|
1,429 |
1,126 |
$0.00 |
| 1033F |
|
1,073 |
779 |
$0.00 |
| 1160F |
|
3,958 |
2,745 |
$0.00 |
| 3078F |
|
503 |
488 |
$0.00 |
| 1159F |
|
3,509 |
2,409 |
$0.00 |
| 3725F |
|
53 |
53 |
$0.00 |
| 3074F |
|
2,593 |
1,858 |
$0.00 |
| 97802 |
|
118 |
95 |
$0.00 |