| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,161 |
2,803 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
662 |
580 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
390 |
387 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
550 |
526 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
376 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,107 |
2,072 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
144 |
$15K |
| 92552 |
|
573 |
572 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
43 |
42 |
$493.82 |
| 99173 |
|
573 |
555 |
$384.32 |
| 90461 |
|
69 |
65 |
$354.68 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
47 |
$73.27 |
| 90686 |
|
78 |
78 |
$57.26 |
| 90660 |
|
33 |
33 |
$18.49 |
| 99000 |
|
48 |
41 |
$0.00 |
| 90698 |
|
42 |
41 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 99072 |
|
206 |
184 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |