| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,445 |
7,449 |
$635K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,473 |
3,258 |
$339K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,060 |
1,017 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
655 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
183 |
183 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
348 |
348 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
821 |
789 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
286 |
277 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
591 |
591 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,433 |
1,348 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
80 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
77 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
228 |
222 |
$7K |
| 87634 |
|
51 |
48 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
106 |
$1K |
| 87807 |
|
104 |
99 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
80 |
70 |
$551.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34 |
32 |
$278.45 |
| 90674 |
|
15 |
15 |
$60.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
24 |
$16.87 |
| 90700 |
|
128 |
128 |
$0.00 |
| 90734 |
|
133 |
133 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |