| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,143 |
4,452 |
$257K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,124 |
1,936 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,738 |
2,625 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
532 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
527 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,753 |
859 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
885 |
847 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
284 |
270 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
133 |
$9K |
| 81002 |
|
2,853 |
2,696 |
$8K |
| 85018 |
|
2,677 |
2,546 |
$8K |
| 92552 |
|
1,542 |
1,506 |
$6K |
| 99173 |
|
1,640 |
1,546 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
67 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$869.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,062 |
971 |
$840.75 |
| 90672 |
|
219 |
215 |
$480.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
56 |
53 |
$442.69 |
| 90756 |
|
13 |
12 |
$266.60 |
| 90686 |
|
326 |
322 |
$152.24 |
| 92551 |
|
74 |
61 |
$151.18 |
| 90688 |
|
291 |
282 |
$20.00 |
| 36416 |
|
45 |
43 |
$2.80 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90651 |
|
46 |
44 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |