| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,655 |
4,257 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,870 |
3,654 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,141 |
1,122 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
222 |
211 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
246 |
231 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
274 |
272 |
$18K |
| 96127 |
|
1,333 |
1,240 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
292 |
279 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
114 |
$11K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
443 |
409 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
102 |
99 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
213 |
202 |
$7K |
| 0002A |
|
195 |
175 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
85 |
$6K |
| 0001A |
|
113 |
108 |
$4K |
| 87634 |
|
59 |
59 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
88 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
180 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
46 |
$3K |
| 90686 |
|
341 |
330 |
$2K |
| 99384 |
|
14 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
80 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
155 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$327.72 |
| 90656 |
|
136 |
134 |
$247.76 |
| 81002 |
|
26 |
26 |
$81.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$32.34 |
| 90461 |
|
533 |
526 |
$0.02 |
| 3008F |
|
101 |
85 |
$0.00 |
| 3074F |
|
35 |
27 |
$0.00 |
| 90647 |
|
97 |
96 |
$0.00 |
| 90677 |
|
59 |
58 |
$0.00 |
| 90723 |
|
65 |
64 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90670 |
|
72 |
72 |
$0.00 |
| 1160F |
|
102 |
86 |
$0.00 |
| 90633 |
|
44 |
43 |
$0.00 |
| 91300 |
|
307 |
281 |
$0.00 |
| 1159F |
|
103 |
87 |
$0.00 |
| 3078F |
|
25 |
19 |
$0.00 |