| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,549 |
1,487 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,019 |
1,924 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,074 |
1,025 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
970 |
970 |
$166K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,825 |
1,818 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
195 |
$33K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
173 |
167 |
$9K |
| 96161 |
|
1,016 |
922 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
171 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
378 |
377 |
$2K |
| 90473 |
|
70 |
70 |
$788.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$647.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$558.60 |
| 96127 |
|
50 |
50 |
$383.80 |
| 96380 |
|
13 |
13 |
$254.54 |
| 90686 |
|
648 |
646 |
$77.81 |
| 96160 |
|
817 |
817 |
$24.84 |
| 90656 |
|
85 |
85 |
$0.17 |
| 90698 |
|
473 |
473 |
$0.00 |
| 90744 |
|
187 |
187 |
$0.00 |
| 90677 |
|
154 |
154 |
$0.00 |
| 90680 |
|
370 |
370 |
$0.00 |
| 90670 |
|
600 |
600 |
$0.00 |
| 90633 |
|
64 |
64 |
$0.00 |
| 99421 |
|
26 |
23 |
$0.00 |