| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,525 |
1,319 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,080 |
950 |
$44K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
366 |
333 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
130 |
123 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
407 |
394 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
566 |
260 |
$4K |
| 99051 |
|
213 |
196 |
$3K |
| 0001A |
|
29 |
29 |
$2K |
| 92587 |
|
87 |
79 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
47 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
203 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
38 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
56 |
$1K |
| 99188 |
|
71 |
71 |
$1K |
| 0002A |
|
12 |
12 |
$951.33 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$936.36 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
77 |
$885.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$732.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$662.41 |
| 99441 |
|
16 |
14 |
$595.85 |
| 85018 |
|
487 |
466 |
$257.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$171.92 |
| 92551 |
|
24 |
24 |
$153.61 |
| 83655 |
|
26 |
26 |
$134.60 |
| 90658 |
|
14 |
14 |
$18.24 |
| 81000 |
|
27 |
27 |
$10.05 |
| 99173 |
|
40 |
39 |
$3.88 |
| 81002 |
|
18 |
17 |
$1.74 |
| 99000 |
|
361 |
319 |
$0.00 |
| 36416 |
|
151 |
142 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
80 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
22 |
20 |
$0.00 |
| 99080 |
|
804 |
341 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
20 |
$0.00 |