| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,629 |
5,652 |
$375K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,242 |
3,086 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,229 |
1,207 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,467 |
2,182 |
$98K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,125 |
2,927 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
979 |
972 |
$88K |
| 99000 |
|
3,216 |
3,058 |
$36K |
| 87430 |
|
2,139 |
2,079 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
315 |
314 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,507 |
1,484 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
222 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
558 |
555 |
$7K |
| 81000 |
|
1,919 |
1,777 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$3K |
| 87400 |
|
295 |
289 |
$2K |
| 97802 |
|
1,804 |
1,754 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
58 |
$2K |
| 96160 |
|
733 |
706 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$604.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
56 |
$483.35 |
| 93000 |
|
12 |
12 |
$152.65 |
| 90658 |
|
249 |
249 |
$95.07 |
| 81001 |
|
25 |
25 |
$65.72 |
| 83655 |
|
44 |
44 |
$32.55 |
| 90654 |
|
18 |
18 |
$20.13 |
| 90651 |
|
147 |
146 |
$0.03 |
| 90687 |
|
323 |
323 |
$0.02 |
| 90619 |
|
20 |
20 |
$0.01 |
| 90715 |
|
81 |
77 |
$0.00 |
| 90734 |
|
173 |
173 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90650 |
|
92 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
152 |
148 |
$0.00 |
| 97169 |
|
13 |
13 |
$0.00 |