| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,099 |
2,585 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,353 |
1,975 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
262 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$831.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
54 |
$687.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
93 |
$605.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$506.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$108.15 |
| 99401 |
|
63 |
59 |
$69.36 |
| 96127 |
|
187 |
166 |
$36.57 |
| 90686 |
|
13 |
12 |
$35.97 |
| 81003 |
|
14 |
12 |
$12.84 |
| 36415 |
Collection of venous blood by venipuncture |
278 |
259 |
$5.24 |
| 99072 |
|
14 |
12 |
$0.00 |