| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,167 |
5,239 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,746 |
3,027 |
$184K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,349 |
2,203 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
885 |
695 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,961 |
1,806 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
363 |
344 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
175 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
51 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
133 |
77 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
378 |
313 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
174 |
155 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
351 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
110 |
$4K |
| 92587 |
|
91 |
87 |
$3K |
| 96127 |
|
383 |
299 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90686 |
|
210 |
206 |
$1K |
| 93922 |
|
12 |
12 |
$940.32 |
| 36416 |
|
394 |
259 |
$883.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
14 |
$878.45 |
| 99381 |
|
15 |
12 |
$783.44 |
| 90670 |
|
62 |
62 |
$762.27 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
68 |
$563.90 |
| 99173 |
|
58 |
52 |
$479.64 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$302.20 |
| 90723 |
|
31 |
31 |
$214.60 |
| 90680 |
|
28 |
28 |
$210.62 |
| 94760 |
|
93 |
73 |
$202.74 |
| 80061 |
Lipid panel |
12 |
12 |
$159.12 |
| 87807 |
|
15 |
12 |
$116.30 |
| 90647 |
|
27 |
27 |
$97.65 |
| 90461 |
|
211 |
177 |
$91.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
108 |
92 |
$90.46 |
| 81002 |
|
57 |
26 |
$76.82 |
| 90633 |
|
28 |
28 |
$41.37 |
| 85018 |
|
45 |
16 |
$41.26 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
25 |
$37.92 |
| 81003 |
|
14 |
13 |
$11.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
12 |
$0.00 |