| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,232 |
978 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
691 |
582 |
$35K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
302 |
254 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
260 |
$3K |
| 90461 |
|
127 |
117 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
351 |
293 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 87807 |
|
119 |
97 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$980.00 |
| 87428 |
|
14 |
14 |
$520.00 |
| 90686 |
|
58 |
51 |
$514.54 |
| 92551 |
|
140 |
98 |
$385.75 |
| 99173 |
|
106 |
72 |
$295.00 |
| 90656 |
|
12 |
12 |
$237.48 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
86 |
$80.00 |
| 3078F |
|
597 |
386 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
115 |
80 |
$0.00 |
| 99490 |
Ccm add 20min |
28 |
25 |
$0.00 |
| 3074F |
|
586 |
387 |
$0.00 |
| 3079F |
|
48 |
29 |
$0.00 |