| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,859 |
4,446 |
$509K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,620 |
1,548 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,260 |
1,232 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
643 |
643 |
$61K |
| 99460 |
|
364 |
364 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
274 |
274 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
814 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
325 |
$9K |
| 54150 |
|
58 |
58 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
511 |
511 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
102 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
13 |
$811.72 |
| 90474 |
|
13 |
13 |
$220.08 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$37.38 |
| 85018 |
|
12 |
12 |
$25.32 |
| 90670 |
|
121 |
121 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90647 |
|
40 |
40 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |