| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,176 |
4,827 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,566 |
3,357 |
$239K |
| 99307 |
|
1,443 |
1,430 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
461 |
458 |
$10K |
| 87428 |
|
235 |
234 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
412 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
610 |
601 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
176 |
174 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
79 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
179 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
51 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
255 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
85 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$891.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$635.85 |
| 96127 |
|
133 |
133 |
$537.98 |
| 36415 |
Collection of venous blood by venipuncture |
287 |
286 |
$537.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$195.00 |
| 90686 |
|
70 |
70 |
$20.23 |
| 90734 |
|
15 |
15 |
$0.00 |