| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,473 |
5,442 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,230 |
1,131 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,010 |
2,844 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,118 |
1,978 |
$86K |
| 99215 |
Prolong outpt/office vis |
256 |
231 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
253 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
253 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,410 |
1,348 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,217 |
586 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
96 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$6K |
| 99401 |
|
98 |
97 |
$2K |
| 92552 |
|
423 |
409 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
170 |
$2K |
| 85018 |
|
592 |
565 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
85 |
$954.06 |
| 96160 |
|
216 |
208 |
$644.60 |
| 90461 |
|
25 |
24 |
$576.76 |
| 99173 |
|
208 |
192 |
$451.57 |
| 87807 |
|
25 |
24 |
$404.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
551 |
520 |
$337.50 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
197 |
$187.80 |
| 90686 |
|
612 |
580 |
$69.58 |
| 36416 |
|
315 |
296 |
$52.84 |
| 99000 |
|
136 |
122 |
$0.00 |
| 90656 |
|
35 |
35 |
$0.00 |
| 90688 |
|
52 |
51 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |