| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,875 |
2,467 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,891 |
1,637 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,191 |
1,094 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
37 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 90461 |
|
171 |
147 |
$2K |
| 69210 |
|
788 |
695 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 85018 |
|
948 |
923 |
$518.14 |
| 81002 |
|
795 |
743 |
$463.17 |
| 0072A |
|
12 |
12 |
$419.10 |
| 92551 |
|
575 |
564 |
$269.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
242 |
135 |
$79.80 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
130 |
118 |
$40.55 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
143 |
$30.00 |
| 99173 |
|
604 |
591 |
$13.15 |
| 36416 |
|
657 |
637 |
$3.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
51 |
$0.00 |
| 99188 |
|
26 |
14 |
$0.00 |
| 91307 |
|
14 |
12 |
$0.00 |