| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,015 |
4,831 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,479 |
5,482 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,357 |
1,316 |
$105K |
| 87428 |
|
1,837 |
1,723 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
943 |
929 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,516 |
3,082 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
907 |
830 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
650 |
642 |
$58K |
| 99429 |
|
1,023 |
999 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,043 |
1,915 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,740 |
1,943 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
261 |
223 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
946 |
884 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
287 |
264 |
$11K |
| 92551 |
|
968 |
961 |
$9K |
| 90461 |
|
1,423 |
1,179 |
$6K |
| 92587 |
|
1,066 |
1,052 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
120 |
109 |
$6K |
| 87081 |
|
840 |
808 |
$3K |
| 99174 |
|
867 |
857 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 87807 |
|
118 |
114 |
$1K |
| 92552 |
|
49 |
49 |
$1K |
| 87634 |
|
20 |
20 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
26 |
$722.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$704.38 |
| 81003 |
|
91 |
90 |
$168.53 |
| 90633 |
|
193 |
192 |
$52.51 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$33.60 |
| 90686 |
|
795 |
788 |
$18.88 |
| 90677 |
|
110 |
109 |
$0.40 |
| 90723 |
|
224 |
220 |
$0.00 |
| 90656 |
|
79 |
79 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| 99173 |
|
1,422 |
1,409 |
$0.00 |
| 90670 |
|
473 |
463 |
$0.00 |
| 90710 |
|
105 |
102 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 90648 |
|
469 |
460 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |