| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,411 |
3,902 |
$485K |
| 99215 |
Prolong outpt/office vis |
1,496 |
1,347 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,698 |
1,586 |
$133K |
| 99205 |
Prolong outpt/office vis |
89 |
89 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
518 |
513 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
410 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
79 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
217 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
401 |
380 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$320.32 |
| 87807 |
|
28 |
28 |
$319.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$289.75 |
| 96160 |
|
639 |
637 |
$0.19 |