| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,220 |
2,943 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,149 |
2,998 |
$491K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
633 |
622 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
124 |
124 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
105 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$4K |
| 87428 |
|
83 |
83 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
97 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
564 |
555 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$400.73 |
| 87807 |
|
13 |
13 |
$23.30 |
| 3074F |
|
163 |
149 |
$0.00 |
| 3008F |
|
156 |
146 |
$0.00 |
| 3078F |
|
141 |
129 |
$0.00 |