| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,193 |
2,892 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,340 |
1,338 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
950 |
893 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,410 |
2,224 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
611 |
609 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,681 |
2,665 |
$7K |
| 85018 |
|
1,355 |
1,353 |
$1K |
| 99381 |
|
16 |
12 |
$865.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,033 |
499 |
$695.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
906 |
843 |
$602.12 |
| H0049 |
Alcohol and/or drug screening |
29 |
29 |
$562.52 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
485 |
468 |
$324.33 |
| 99188 |
|
187 |
187 |
$213.61 |
| 81003 |
|
1,219 |
1,192 |
$164.49 |
| 96161 |
|
407 |
404 |
$126.26 |
| 99173 |
|
308 |
308 |
$100.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
371 |
$93.42 |
| 87807 |
|
61 |
60 |
$19.06 |
| 92567 |
|
18 |
14 |
$9.44 |
| 90674 |
|
41 |
41 |
$0.00 |