| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,087 |
1,705 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,523 |
2,179 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,551 |
2,118 |
$105K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,522 |
2,463 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
934 |
751 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
751 |
601 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
511 |
400 |
$38K |
| 96160 |
|
2,569 |
1,210 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
238 |
213 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,222 |
1,014 |
$12K |
| 99177 |
|
1,546 |
1,254 |
$11K |
| 92551 |
|
1,353 |
1,081 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
282 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
688 |
294 |
$7K |
| 99173 |
|
954 |
757 |
$5K |
| 90670 |
|
562 |
456 |
$1K |
| 83655 |
|
112 |
74 |
$898.22 |
| 90461 |
|
1,294 |
926 |
$653.08 |
| 36415 |
Collection of venous blood by venipuncture |
298 |
240 |
$597.96 |
| 90686 |
|
737 |
624 |
$511.75 |
| 90698 |
|
311 |
273 |
$381.93 |
| 85018 |
|
174 |
134 |
$360.86 |
| 90680 |
|
204 |
182 |
$330.93 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$200.00 |
| 90633 |
|
185 |
135 |
$87.88 |
| 90688 |
|
442 |
336 |
$84.95 |
| 94761 |
|
45 |
39 |
$36.72 |
| 90744 |
|
96 |
78 |
$31.75 |
| 94760 |
|
29 |
26 |
$11.10 |
| 99000 |
|
518 |
407 |
$0.00 |
| 90651 |
|
47 |
37 |
$0.00 |
| 90716 |
|
80 |
55 |
$0.00 |
| 90685 |
|
171 |
131 |
$0.00 |
| 90687 |
|
28 |
23 |
$0.00 |
| 90707 |
|
78 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |