| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,428 |
3,984 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
940 |
903 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,220 |
2,176 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
887 |
843 |
$38K |
| 92552 |
|
1,177 |
1,176 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
298 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
243 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
230 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,344 |
1,303 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
707 |
336 |
$6K |
| 90686 |
|
1,134 |
1,132 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$6K |
| 87081 |
|
1,175 |
1,140 |
$4K |
| 81000 |
|
1,450 |
1,442 |
$3K |
| 85018 |
|
1,622 |
1,620 |
$2K |
| 99174 |
|
566 |
565 |
$2K |
| 90670 |
|
64 |
64 |
$2K |
| 90698 |
|
84 |
84 |
$1K |
| 87428 |
|
14 |
14 |
$999.46 |
| 90461 |
|
414 |
409 |
$834.03 |
| 36415 |
Collection of venous blood by venipuncture |
1,285 |
1,282 |
$394.29 |
| 90651 |
|
13 |
13 |
$227.93 |
| 90680 |
|
41 |
41 |
$172.41 |
| 90744 |
|
13 |
13 |
$99.96 |
| 99050 |
|
16 |
16 |
$96.00 |
| 96127 |
|
15 |
15 |
$45.65 |
| 99000 |
|
1,037 |
1,034 |
$0.00 |
| 99072 |
|
138 |
131 |
$0.00 |