| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,526 |
3,330 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,689 |
2,801 |
$116K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
804 |
583 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
918 |
695 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
941 |
554 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,551 |
1,082 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,475 |
1,401 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,202 |
578 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,678 |
1,027 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,678 |
934 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,759 |
500 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
880 |
189 |
$5K |
| 87807 |
|
937 |
481 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
530 |
160 |
$5K |
| 99215 |
Prolong outpt/office vis |
64 |
39 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
446 |
283 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
935 |
196 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$850.56 |
| 90474 |
|
91 |
86 |
$739.53 |
| 92551 |
|
84 |
65 |
$554.09 |
| 99382 |
|
197 |
23 |
$418.03 |
| 36415 |
Collection of venous blood by venipuncture |
244 |
168 |
$314.22 |
| 99173 |
|
209 |
116 |
$226.00 |
| 99383 |
|
75 |
12 |
$165.34 |
| 81002 |
|
369 |
95 |
$120.15 |
| 85018 |
|
68 |
55 |
$119.07 |
| 86308 |
|
16 |
12 |
$49.44 |
| 90670 |
|
179 |
115 |
$0.00 |
| 90710 |
|
51 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
13 |
$0.00 |
| 90671 |
|
37 |
35 |
$0.00 |
| 90633 |
|
44 |
30 |
$0.00 |
| 90697 |
|
253 |
227 |
$0.00 |
| 90686 |
|
144 |
108 |
$0.00 |
| 90680 |
|
92 |
86 |
$0.00 |
| 90677 |
|
196 |
182 |
$0.00 |