| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,714 |
3,258 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,783 |
3,305 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
101 |
$9K |
| 90686 |
|
602 |
536 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
340 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
75 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
276 |
254 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
47 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
62 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
39 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
52 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$835.52 |
| 87428 |
|
14 |
13 |
$826.67 |
| 90651 |
|
20 |
19 |
$345.76 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
34 |
20 |
$342.94 |
| 90710 |
|
17 |
16 |
$330.89 |
| 90734 |
|
42 |
41 |
$283.44 |
| 90648 |
|
38 |
36 |
$251.18 |
| 90696 |
|
15 |
14 |
$156.85 |
| 90715 |
|
14 |
14 |
$115.51 |
| 81025 |
|
34 |
25 |
$85.14 |
| 90670 |
|
12 |
12 |
$77.19 |
| 81003 |
|
30 |
27 |
$65.64 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
193 |
$50.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
53 |
$0.00 |