| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,717 |
12,384 |
$948K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,285 |
2,914 |
$295K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,141 |
1,751 |
$128K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,590 |
3,098 |
$90K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
288 |
34 |
$55K |
| 80305 |
|
1,445 |
1,008 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
198 |
187 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
624 |
592 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
119 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
459 |
411 |
$9K |
| T1016 |
Case management, each 15 minutes |
197 |
84 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
105 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
58 |
$7K |
| 0013A |
|
87 |
86 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
419 |
390 |
$6K |
| 96160 |
|
1,522 |
1,363 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
23 |
15 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
67 |
$5K |
| 99484 |
|
75 |
74 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
61 |
$4K |
| 95117 |
|
488 |
303 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
303 |
260 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
191 |
159 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
33 |
$3K |
| 0002A |
|
28 |
28 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
36 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
76 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
87 |
$2K |
| 0001A |
|
35 |
34 |
$2K |
| 90686 |
|
158 |
147 |
$1K |
| 87807 |
|
75 |
62 |
$515.16 |
| 0011A |
|
14 |
14 |
$428.64 |
| 81025 |
|
25 |
24 |
$131.66 |
| 99406 |
|
1,054 |
796 |
$61.16 |
| 81003 |
|
76 |
70 |
$60.32 |
| 3078F |
|
21 |
12 |
$0.00 |
| 3077F |
|
136 |
130 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99072 |
|
46 |
44 |
$0.00 |
| 3008F |
|
173 |
166 |
$0.00 |
| 1125F |
|
27 |
27 |
$0.00 |
| 3080F |
|
134 |
125 |
$0.00 |
| 3074F |
|
57 |
56 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |