| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,282 |
4,382 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
297 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
975 |
869 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
204 |
165 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
287 |
122 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
38 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
763 |
683 |
$1K |
| 90686 |
|
39 |
29 |
$270.93 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
56 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
394 |
334 |
$0.00 |
| 3078F |
|
33 |
25 |
$0.00 |