| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,534 |
3,301 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,861 |
3,663 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
740 |
654 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
667 |
646 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,333 |
3,186 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
620 |
597 |
$54K |
| 90461 |
|
1,547 |
1,432 |
$31K |
| 96127 |
|
3,882 |
3,703 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,564 |
2,434 |
$20K |
| 96160 |
|
2,312 |
2,165 |
$18K |
| 87400 |
|
1,445 |
717 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
174 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
515 |
492 |
$7K |
| 99188 |
|
283 |
270 |
$5K |
| 81002 |
|
1,495 |
1,405 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
215 |
$4K |
| 81000 |
|
609 |
568 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
20 |
$996.96 |
| G9153 |
Mapcp demonstration - physician incentive pool |
29 |
29 |
$840.00 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
120 |
$291.00 |
| 99050 |
|
12 |
12 |
$121.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$87.12 |
| 90648 |
|
45 |
39 |
$0.00 |
| 90670 |
|
156 |
144 |
$0.00 |
| 90633 |
|
119 |
108 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90686 |
|
933 |
899 |
$0.00 |
| 90647 |
|
45 |
44 |
$0.00 |
| 90688 |
|
85 |
85 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |