| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,254 |
17,751 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,749 |
11,761 |
$511K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,526 |
6,871 |
$244K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,218 |
1,186 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,664 |
2,570 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,055 |
2,835 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
401 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
174 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,257 |
952 |
$10K |
| 99050 |
|
469 |
447 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
380 |
377 |
$7K |
| 92551 |
|
961 |
928 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
195 |
190 |
$5K |
| 90670 |
|
2,250 |
2,152 |
$4K |
| 96127 |
|
972 |
558 |
$4K |
| 99173 |
|
1,502 |
1,454 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
150 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
56 |
$1K |
| 90686 |
|
2,973 |
2,876 |
$956.42 |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$936.62 |
| 99383 |
|
12 |
12 |
$855.12 |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
16 |
$770.44 |
| 90698 |
|
1,245 |
1,213 |
$703.96 |
| 99381 |
|
14 |
14 |
$666.71 |
| 36416 |
|
90 |
90 |
$342.72 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
172 |
$322.88 |
| 85018 |
|
83 |
81 |
$162.99 |
| 90633 |
|
280 |
272 |
$140.32 |
| 90680 |
|
1,226 |
1,161 |
$50.35 |
| 90744 |
|
192 |
188 |
$1.33 |
| 90697 |
|
510 |
466 |
$0.00 |
| 94760 |
|
157 |
132 |
$0.00 |