| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,045 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
408 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
687 |
485 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
71 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
67 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
316 |
210 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
171 |
$5K |
| 81002 |
|
923 |
558 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
114 |
$2K |
| 99058 |
|
49 |
46 |
$660.10 |
| 99173 |
|
62 |
33 |
$461.90 |
| 36415 |
Collection of venous blood by venipuncture |
290 |
179 |
$307.50 |
| 90734 |
|
30 |
12 |
$192.00 |
| 3074F |
|
1,728 |
993 |
$0.00 |
| 1003F |
|
973 |
558 |
$0.00 |
| 1159F |
|
2,173 |
1,276 |
$0.00 |
| 1033F |
|
857 |
528 |
$0.00 |
| 1160F |
|
2,622 |
1,533 |
$0.00 |