| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,014 |
9,129 |
$969K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,043 |
12,168 |
$909K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,094 |
1,023 |
$141K |
| 36415 |
Collection of venous blood by venipuncture |
4,934 |
4,771 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
869 |
847 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
281 |
272 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
996 |
971 |
$13K |
| 90682 |
|
284 |
279 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 90686 |
|
206 |
202 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
14 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
87 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$883.23 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
115 |
105 |
$840.41 |
| 0012A |
|
31 |
31 |
$611.23 |
| 99441 |
|
34 |
29 |
$454.79 |
| 0011A |
|
29 |
29 |
$346.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$178.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$122.73 |
| 96160 |
|
657 |
591 |
$104.40 |
| 99000 |
|
460 |
422 |
$21.19 |
| 1111F |
|
360 |
329 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3074F |
|
29 |
29 |
$0.00 |