| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,277 |
7,374 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,557 |
2,010 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
226 |
153 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
104 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
579 |
491 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
348 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
53 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,293 |
1,985 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
107 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
12 |
$2K |
| 81003 |
|
397 |
330 |
$646.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
26 |
$375.81 |
| 90688 |
|
42 |
34 |
$215.56 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
123 |
91 |
$49.35 |
| 90687 |
|
19 |
17 |
$0.00 |