| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,689 |
1,521 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,370 |
2,067 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
199 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
32 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
48 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
117 |
$1K |
| 99173 |
|
338 |
317 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,011 |
910 |
$950.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$910.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
17 |
$864.60 |
| 99383 |
|
18 |
15 |
$770.00 |
| 90461 |
|
33 |
28 |
$598.00 |
| 92551 |
|
179 |
169 |
$475.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
33 |
$319.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
37 |
$317.07 |
| 96160 |
|
104 |
103 |
$305.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$193.00 |
| 81002 |
|
83 |
65 |
$108.65 |
| 96127 |
|
33 |
32 |
$94.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
27 |
$72.00 |