| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,857 |
6,254 |
$535K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,220 |
4,793 |
$334K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
536 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
442 |
422 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,982 |
1,951 |
$25K |
| 90686 |
|
969 |
947 |
$16K |
| 90670 |
|
344 |
342 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
250 |
244 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
81 |
$5K |
| 90698 |
|
236 |
236 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
66 |
53 |
$4K |
| 99349 |
|
42 |
37 |
$3K |
| 99173 |
|
560 |
530 |
$3K |
| 92551 |
|
493 |
462 |
$2K |
| 90671 |
|
172 |
171 |
$2K |
| 90680 |
|
102 |
102 |
$2K |
| 90697 |
|
115 |
115 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
39 |
$814.00 |
| 87400 |
|
168 |
83 |
$800.00 |
| 90656 |
|
44 |
41 |
$763.59 |
| 90633 |
|
49 |
48 |
$666.96 |
| 90744 |
|
25 |
25 |
$494.75 |
| 90715 |
|
13 |
13 |
$319.67 |
| 90734 |
|
12 |
12 |
$318.73 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
66 |
$258.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$55.00 |
| 1159F |
|
41 |
41 |
$0.00 |