| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,472 |
3,265 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,101 |
1,429 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,743 |
1,876 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,051 |
885 |
$60K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,779 |
1,248 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,100 |
1,722 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,103 |
2,603 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
410 |
347 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
379 |
300 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
601 |
404 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
163 |
143 |
$8K |
| 96161 |
|
2,151 |
1,227 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
38 |
$2K |
| 36410 |
|
421 |
255 |
$2K |
| 99460 |
|
73 |
43 |
$2K |
| 96160 |
|
5,855 |
3,613 |
$2K |
| 96127 |
|
1,450 |
937 |
$1K |
| 99384 |
|
29 |
14 |
$1K |
| 99381 |
|
35 |
25 |
$1K |
| 0071A |
|
12 |
12 |
$467.88 |
| T1001 |
Nursing assessment / evaluation |
44 |
33 |
$454.60 |
| 99401 |
|
43 |
34 |
$329.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
304 |
67 |
$307.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
12 |
$223.86 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
83 |
$195.45 |
| 99173 |
|
97 |
58 |
$63.33 |
| 90671 |
|
563 |
413 |
$0.68 |
| 90633 |
|
216 |
169 |
$0.28 |
| 90651 |
|
41 |
30 |
$0.02 |
| 90698 |
|
338 |
223 |
$0.00 |
| 90680 |
|
652 |
460 |
$0.00 |
| 90686 |
|
40 |
20 |
$0.00 |
| 90723 |
|
38 |
27 |
$0.00 |
| 90697 |
|
202 |
144 |
$0.00 |
| 90688 |
|
30 |
23 |
$0.00 |
| 90744 |
|
50 |
44 |
$0.00 |
| 90620 |
|
20 |
17 |
$0.00 |
| 91307 |
|
17 |
12 |
$0.00 |
| 90756 |
|
57 |
30 |
$0.00 |
| 90700 |
|
71 |
52 |
$0.00 |
| 90670 |
|
580 |
399 |
$0.00 |
| 90648 |
|
107 |
75 |
$0.00 |
| 90461 |
|
86 |
34 |
$0.00 |
| 90710 |
|
46 |
34 |
$0.00 |