| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
473 |
434 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
240 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
324 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
143 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,180 |
853 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
109 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
832 |
687 |
$6K |
| 92551 |
|
476 |
468 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
114 |
107 |
$4K |
| 99429 |
|
112 |
110 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
69 |
$3K |
| 90461 |
|
498 |
307 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
99 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
48 |
$1K |
| 85018 |
|
749 |
720 |
$1K |
| 81002 |
|
401 |
395 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
32 |
$785.28 |
| 0072A |
|
15 |
14 |
$560.00 |
| 0071A |
|
14 |
13 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
846 |
724 |
$14.00 |
| 90686 |
|
392 |
372 |
$0.01 |
| 99173 |
|
477 |
467 |
$0.00 |
| 99072 |
|
240 |
211 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 99070 |
|
241 |
212 |
$0.00 |
| 36416 |
|
512 |
490 |
$0.00 |