| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,197 |
3,024 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,491 |
3,239 |
$218K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,165 |
2,158 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
535 |
$31K |
| 87428 |
|
428 |
412 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
233 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
432 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
152 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
172 |
$9K |
| 92551 |
|
1,200 |
1,199 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
130 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
212 |
$6K |
| 87807 |
|
387 |
376 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
732 |
713 |
$4K |
| 90619 |
|
15 |
15 |
$2K |
| 81000 |
|
140 |
136 |
$537.06 |
| 99173 |
|
294 |
294 |
$511.27 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$102.20 |
| 94760 |
|
420 |
379 |
$0.00 |
| 99000 |
|
40 |
40 |
$0.00 |