| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,782 |
3,114 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,643 |
3,234 |
$276K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
262 |
262 |
$37K |
| 80305 |
|
2,152 |
1,614 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
357 |
352 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
138 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
110 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
314 |
310 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
427 |
421 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
275 |
266 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
806 |
780 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 96127 |
|
381 |
370 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
31 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$689.38 |
| 90686 |
|
91 |
91 |
$454.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$223.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
14 |
$201.17 |
| 96160 |
|
371 |
370 |
$6.83 |