| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,462 |
7,159 |
$313K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,324 |
2,687 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
435 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
180 |
154 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
125 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
362 |
346 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
100 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
107 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
91 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
80 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
152 |
131 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,845 |
1,650 |
$5K |
| 87634 |
|
49 |
43 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
336 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
125 |
84 |
$2K |
| 90686 |
|
165 |
134 |
$2K |
| 99383 |
|
14 |
12 |
$1K |
| 81002 |
|
560 |
417 |
$687.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$541.21 |
| 90734 |
|
12 |
12 |
$233.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$111.84 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$56.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
359 |
$0.15 |