| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,855 |
2,652 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,880 |
1,547 |
$134K |
| 99215 |
Prolong outpt/office vis |
716 |
406 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
617 |
461 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
648 |
467 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
511 |
401 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
237 |
$28K |
| 90686 |
|
513 |
434 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
207 |
158 |
$8K |
| 90677 |
|
57 |
42 |
$7K |
| 90633 |
|
301 |
232 |
$5K |
| 90670 |
|
268 |
199 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
24 |
$4K |
| 90698 |
|
268 |
161 |
$3K |
| 90619 |
|
35 |
31 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
189 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
97 |
$2K |
| 90734 |
|
50 |
41 |
$897.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$694.35 |
| 90744 |
|
30 |
27 |
$560.83 |
| 90680 |
|
41 |
24 |
$457.86 |
| 83655 |
|
77 |
40 |
$317.52 |
| 90710 |
|
13 |
13 |
$256.08 |
| 90696 |
|
13 |
13 |
$232.80 |
| 90715 |
|
15 |
12 |
$209.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
13 |
$115.18 |
| 99401 |
|
23 |
18 |
$90.00 |
| 87807 |
|
15 |
15 |
$71.69 |
| 85018 |
|
63 |
37 |
$50.58 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$26.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
599 |
333 |
$23.28 |
| 90461 |
|
293 |
146 |
$0.00 |
| 90697 |
|
34 |
29 |
$0.00 |