| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,564 |
5,658 |
$490K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,115 |
2,577 |
$299K |
| 99401 |
|
10,708 |
6,881 |
$111K |
| 92587 |
|
1,769 |
1,733 |
$49K |
| 99441 |
|
2,766 |
2,197 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
924 |
801 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
266 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,218 |
2,100 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
187 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
329 |
318 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$7K |
| 96127 |
|
1,266 |
1,258 |
$5K |
| 81002 |
|
1,724 |
1,658 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
72 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,694 |
1,671 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
811 |
791 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
417 |
385 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
165 |
157 |
$1K |
| 99173 |
|
1,486 |
1,468 |
$1K |
| 90686 |
|
662 |
660 |
$1K |
| 90461 |
|
195 |
187 |
$1K |
| 0072A |
|
32 |
32 |
$1K |
| 94010 |
|
29 |
24 |
$729.60 |
| 0071A |
|
15 |
15 |
$533.50 |
| 91307 |
|
51 |
46 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |