| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,478 |
3,145 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,825 |
1,627 |
$93K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
267 |
248 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,411 |
2,199 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
508 |
428 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
172 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
307 |
241 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$918.96 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$596.55 |
| 0012A |
|
15 |
15 |
$403.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
42 |
$337.99 |
| 0001A |
|
24 |
24 |
$313.01 |
| 0002A |
|
12 |
12 |
$289.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$239.51 |
| 0011A |
|
14 |
14 |
$228.00 |
| 96127 |
|
32 |
31 |
$124.80 |
| 99173 |
|
12 |
12 |
$22.12 |
| 91301 |
|
33 |
33 |
$0.00 |
| 91300 |
|
29 |
25 |
$0.00 |