| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
381 |
338 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
387 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
561 |
466 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
339 |
273 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
133 |
$11K |
| 99381 |
|
34 |
25 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
20 |
18 |
$1K |
| 87634 |
|
13 |
12 |
$601.16 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$438.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
75 |
70 |
$437.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
41 |
$342.98 |
| 90677 |
|
181 |
169 |
$283.72 |
| 83655 |
|
14 |
14 |
$147.79 |
| 92551 |
|
23 |
20 |
$147.70 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$88.68 |
| 96161 |
|
48 |
42 |
$72.78 |
| 99173 |
|
24 |
21 |
$41.13 |
| 3078F |
|
432 |
382 |
$0.00 |
| 90648 |
|
312 |
244 |
$0.00 |
| 90671 |
|
147 |
85 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,643 |
1,355 |
$0.00 |
| 90723 |
|
294 |
223 |
$0.00 |
| 3074F |
|
451 |
397 |
$0.00 |
| 90680 |
|
271 |
207 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |