| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,256 |
3,756 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,834 |
4,189 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,415 |
1,166 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,248 |
890 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,145 |
2,426 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
251 |
$21K |
| 90686 |
|
1,373 |
1,139 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
148 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
567 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
314 |
243 |
$10K |
| 90670 |
|
998 |
866 |
$9K |
| 90648 |
|
933 |
768 |
$7K |
| 90723 |
|
542 |
477 |
$4K |
| 90680 |
|
526 |
465 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
117 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
225 |
216 |
$3K |
| 90651 |
|
108 |
101 |
$2K |
| 90633 |
|
269 |
208 |
$2K |
| 90734 |
|
140 |
131 |
$1K |
| 0064A |
|
12 |
12 |
$496.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
42 |
$473.74 |
| 85018 |
|
152 |
94 |
$349.10 |
| 90715 |
|
36 |
31 |
$258.38 |
| 90698 |
|
35 |
35 |
$237.60 |
| 90744 |
|
33 |
33 |
$224.80 |
| 90700 |
|
15 |
13 |
$193.46 |
| 36415 |
Collection of venous blood by venipuncture |
228 |
214 |
$153.38 |
| 93793 |
|
22 |
12 |
$121.21 |
| 81002 |
|
45 |
40 |
$111.80 |
| 90710 |
|
13 |
13 |
$83.46 |
| 90696 |
|
13 |
13 |
$83.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
156 |
$0.00 |