| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,777 |
10,217 |
$1.48M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,207 |
7,080 |
$847K |
| 17110 |
|
231 |
191 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
240 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
3,407 |
3,025 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
205 |
$26K |
| 10060 |
|
65 |
63 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
98 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
75 |
$9K |
| 99441 |
|
73 |
73 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
58 |
$7K |
| 94760 |
|
13,244 |
11,614 |
$7K |
| 10040 |
|
27 |
26 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$4K |
| 90686 |
|
103 |
102 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,048 |
1,012 |
$2K |
| 99382 |
|
17 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
132 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,613 |
3,373 |
$2K |
| 90674 |
|
43 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,325 |
1,261 |
$1K |
| 90619 |
|
18 |
18 |
$1K |
| 90715 |
|
26 |
26 |
$720.39 |
| 90677 |
|
13 |
13 |
$686.20 |
| 90707 |
|
28 |
28 |
$678.83 |
| 81025 |
|
127 |
126 |
$408.91 |
| 99051 |
|
29 |
29 |
$375.84 |
| 90662 |
|
18 |
17 |
$303.19 |
| 90710 |
|
14 |
14 |
$298.34 |
| 81000 |
|
764 |
729 |
$263.37 |
| 93000 |
|
556 |
534 |
$256.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
93 |
$73.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
68 |
$66.14 |
| 90461 |
|
62 |
61 |
$8.06 |
| 69210 |
|
12 |
12 |
$6.82 |
| 85018 |
|
87 |
79 |
$1.66 |
| 82947 |
|
14 |
12 |
$0.00 |