| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,858 |
7,562 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,238 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
220 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
355 |
341 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
77 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
80 |
80 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
166 |
163 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
276 |
242 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
77 |
$997.53 |
| 99406 |
|
13 |
12 |
$990.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
163 |
$986.25 |
| 99173 |
|
290 |
285 |
$667.54 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,026 |
741 |
$344.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
444 |
420 |
$183.35 |
| 90734 |
|
16 |
16 |
$166.70 |
| 81003 |
|
41 |
37 |
$38.42 |
| 90686 |
|
76 |
73 |
$19.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
93 |
$0.00 |
| 3078F |
|
46 |
42 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$0.00 |
| 90651 |
|
46 |
43 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 4000F |
|
13 |
12 |
$0.00 |