| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,982 |
3,389 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,349 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
231 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
136 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
92 |
$8K |
| 90686 |
|
538 |
453 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
33 |
$1K |
| 90656 |
|
26 |
26 |
$446.15 |
| 90648 |
|
46 |
39 |
$294.40 |
| 90670 |
|
28 |
25 |
$179.20 |
| 90723 |
|
15 |
12 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
182 |
$68.00 |