| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
1,485 |
1,211 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
659 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
695 |
579 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
763 |
$40K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
49 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
50 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
54 |
$4K |
| 90670 |
|
347 |
336 |
$3K |
| 90686 |
|
194 |
158 |
$2K |
| 90648 |
|
332 |
320 |
$2K |
| 90723 |
|
244 |
236 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
42 |
$2K |
| 90680 |
|
204 |
198 |
$1K |
| 0500F |
|
29 |
27 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
38 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
50 |
35 |
$646.31 |
| 36415 |
Collection of venous blood by venipuncture |
277 |
267 |
$32.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |