| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,597 |
2,924 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,594 |
1,297 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,470 |
1,174 |
$30K |
| 99000 |
|
1,416 |
1,295 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
90 |
87 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
431 |
301 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
291 |
280 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
48 |
$4K |
| 90674 |
|
217 |
212 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
128 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
56 |
$738.16 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$630.63 |
| 99406 |
|
78 |
64 |
$570.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
52 |
$563.51 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
41 |
$333.74 |
| 87807 |
|
12 |
12 |
$121.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
69 |
61 |
$15.00 |
| 96127 |
|
261 |
246 |
$13.20 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99173 |
|
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,028 |
958 |
$0.00 |
| 94760 |
|
132 |
108 |
$0.00 |