| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,753 |
4,015 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
795 |
684 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
327 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
873 |
385 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
395 |
374 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
218 |
203 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$1K |
| 90686 |
|
49 |
47 |
$464.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
54 |
$291.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
30 |
$275.00 |
| 87807 |
|
29 |
25 |
$173.35 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
28 |
$95.00 |
| 3074F |
|
1,167 |
980 |
$25.00 |
| 3078F |
|
1,480 |
1,236 |
$0.00 |
| 3288F |
|
278 |
227 |
$0.00 |
| 1220F |
|
1,241 |
1,032 |
$0.00 |
| 1126F |
|
103 |
92 |
$0.00 |
| 1125F |
|
30 |
28 |
$0.00 |