| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,153 |
2,831 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,763 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
657 |
601 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
277 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,742 |
1,667 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
45 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
31 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,242 |
1,191 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
12 |
$2K |
| 99462 |
|
12 |
12 |
$1K |
| 0002A |
|
20 |
20 |
$800.00 |
| 90688 |
|
544 |
519 |
$702.93 |
| 0031A |
|
29 |
26 |
$680.00 |
| 36415 |
Collection of venous blood by venipuncture |
384 |
346 |
$568.90 |
| 0001A |
|
12 |
12 |
$480.00 |
| 90677 |
|
79 |
77 |
$249.00 |
| 36416 |
|
362 |
317 |
$241.94 |
| 90473 |
|
54 |
50 |
$151.34 |
| 90686 |
|
255 |
250 |
$91.71 |
| 91303 |
|
28 |
26 |
$80.00 |
| 80305 |
|
235 |
186 |
$65.97 |
| 90658 |
|
87 |
87 |
$65.84 |
| 96127 |
|
39 |
38 |
$29.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 90670 |
|
282 |
266 |
$0.00 |
| 91300 |
|
37 |
37 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90647 |
|
206 |
196 |
$0.00 |
| 90697 |
|
25 |
24 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 90680 |
|
54 |
50 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |