| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,100 |
1,866 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,622 |
1,477 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
175 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
176 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
593 |
551 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
692 |
666 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
358 |
338 |
$6K |
| 99188 |
|
332 |
313 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
249 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 96127 |
|
704 |
631 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$682.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
19 |
$573.05 |
| 87428 |
|
21 |
21 |
$494.92 |
| 92551 |
|
47 |
44 |
$349.46 |
| 96160 |
|
192 |
188 |
$334.67 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
82 |
$267.75 |
| 99173 |
|
95 |
90 |
$181.12 |
| 96161 |
|
95 |
95 |
$171.11 |
| 99383 |
|
13 |
13 |
$80.13 |
| 81003 |
|
13 |
13 |
$45.34 |
| 90671 |
|
97 |
94 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |