| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,163 |
1,964 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,288 |
2,020 |
$91K |
| 90686 |
|
282 |
239 |
$5K |
| 93793 |
|
836 |
526 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
64 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$930.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$827.41 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
39 |
35 |
$603.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$586.71 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
139 |
$4.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
141 |
$0.00 |