| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
865 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,619 |
1,554 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
668 |
621 |
$59K |
| 90461 |
|
910 |
886 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
320 |
298 |
$16K |
| 90677 |
|
48 |
48 |
$12K |
| 90671 |
|
53 |
53 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
73 |
$9K |
| 99460 |
|
63 |
62 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
48 |
47 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$2K |
| 92587 |
|
26 |
26 |
$688.79 |
| 0003A |
|
17 |
17 |
$674.34 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$295.44 |
| 96160 |
|
123 |
108 |
$190.83 |
| 90686 |
|
237 |
235 |
$58.05 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$15.55 |
| 99072 |
|
294 |
263 |
$0.00 |
| 90670 |
|
155 |
147 |
$0.00 |
| 90685 |
|
52 |
51 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 99000 |
|
97 |
89 |
$0.00 |
| 90680 |
|
86 |
84 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |