| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,546 |
8,728 |
$891K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,247 |
2,143 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,540 |
2,418 |
$116K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,668 |
1,614 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,063 |
1,034 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,546 |
1,506 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
214 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
444 |
442 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
905 |
878 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
353 |
352 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$2K |
| 96127 |
|
393 |
386 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 87807 |
|
87 |
86 |
$1K |
| 99173 |
|
286 |
286 |
$693.76 |
| 81025 |
|
67 |
64 |
$501.68 |
| 90686 |
|
122 |
122 |
$158.57 |
| 90651 |
|
25 |
25 |
$148.87 |
| 96160 |
|
465 |
459 |
$0.00 |