| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,018 |
3,574 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
755 |
711 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
419 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
393 |
358 |
$27K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
390 |
380 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,211 |
1,863 |
$18K |
| 96127 |
|
3,540 |
3,060 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
242 |
$6K |
| 90686 |
|
516 |
512 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,144 |
2,499 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
36 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
191 |
$3K |
| 96160 |
|
1,752 |
1,557 |
$3K |
| 90670 |
|
93 |
92 |
$2K |
| 96161 |
|
1,259 |
1,238 |
$2K |
| 92551 |
|
94 |
93 |
$885.62 |
| 99000 |
|
303 |
283 |
$738.65 |
| 99051 |
|
255 |
219 |
$656.31 |
| 90461 |
|
1,315 |
461 |
$463.54 |
| 99177 |
|
50 |
50 |
$256.53 |
| 90633 |
|
16 |
16 |
$218.06 |
| 99072 |
|
417 |
382 |
$194.40 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
13 |
$147.00 |
| 90685 |
|
13 |
12 |
$142.44 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
52 |
$134.70 |
| 90680 |
|
12 |
12 |
$110.00 |
| 90698 |
|
12 |
12 |
$110.00 |
| 99173 |
|
37 |
37 |
$86.45 |
| 85018 |
|
14 |
12 |
$29.16 |