| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,311 |
2,809 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,723 |
3,257 |
$220K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,803 |
5,193 |
$170K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,315 |
1,143 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
561 |
473 |
$65K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
691 |
647 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,034 |
933 |
$39K |
| 99051 |
|
6,278 |
5,676 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,148 |
1,014 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,775 |
760 |
$16K |
| 99201 |
|
175 |
151 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
623 |
548 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
887 |
813 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
97 |
$1K |
| 90685 |
|
38 |
19 |
$414.39 |
| 90674 |
|
25 |
24 |
$281.30 |
| 99000 |
|
3,410 |
3,053 |
$3.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
333 |
311 |
$0.00 |
| 81003 |
|
71 |
53 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |