| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,986 |
2,603 |
$239K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,307 |
1,298 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
744 |
$40K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
409 |
396 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
206 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
192 |
190 |
$9K |
| 87430 |
|
481 |
473 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
151 |
146 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$4K |
| 92551 |
|
320 |
311 |
$2K |
| 96127 |
|
414 |
401 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
144 |
$989.00 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
113 |
$952.47 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$943.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$911.65 |
| 99384 |
|
13 |
12 |
$798.72 |
| 99173 |
|
380 |
371 |
$545.88 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$335.72 |
| 92552 |
|
26 |
26 |
$66.95 |