| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,628 |
1,441 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
744 |
675 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,825 |
1,784 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
571 |
539 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
133 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
825 |
820 |
$7K |
| 92551 |
|
298 |
298 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
62 |
$3K |
| 99381 |
|
24 |
24 |
$2K |
| 96127 |
|
398 |
385 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
43 |
$1K |
| 88738 |
|
178 |
177 |
$793.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
47 |
$746.21 |
| 99173 |
|
295 |
295 |
$733.55 |
| 83655 |
|
52 |
52 |
$560.04 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90480 |
|
21 |
21 |
$375.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$235.92 |
| 90670 |
|
67 |
67 |
$182.91 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$94.20 |
| 99051 |
|
13 |
12 |
$87.75 |
| 36416 |
|
17 |
14 |
$45.39 |
| 90686 |
|
557 |
556 |
$0.04 |
| 96160 |
|
14 |
14 |
$0.00 |
| 91308 |
|
35 |
30 |
$0.00 |
| 99072 |
|
23 |
22 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| 91307 |
|
18 |
17 |
$0.00 |
| 91318 |
|
12 |
12 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |