| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,990 |
3,459 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,538 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
87 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
406 |
361 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
128 |
$2K |
| 90686 |
|
98 |
66 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$934.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$307.80 |
| 92567 |
|
17 |
13 |
$258.40 |
| 90734 |
|
21 |
12 |
$134.40 |
| 82947 |
|
20 |
12 |
$76.40 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
307 |
$12.06 |
| 1160F |
|
672 |
556 |
$0.00 |
| 3078F |
|
435 |
338 |
$0.00 |
| 3210F |
|
17 |
16 |
$0.00 |
| 2001F |
|
406 |
331 |
$0.00 |
| 2000F |
|
662 |
545 |
$0.00 |
| 4037F |
|
27 |
13 |
$0.00 |
| 2010F |
|
740 |
617 |
$0.00 |
| 1220F |
|
338 |
284 |
$0.00 |
| 3008F |
|
730 |
607 |
$0.00 |
| 3074F |
|
572 |
439 |
$0.00 |
| 3079F |
|
104 |
66 |
$0.00 |