| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,127 |
996 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,133 |
1,038 |
$74K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
205 |
196 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
367 |
355 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
674 |
326 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
562 |
549 |
$8K |
| 87634 |
|
107 |
102 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
157 |
147 |
$7K |
| 99215 |
Prolong outpt/office vis |
118 |
97 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
90 |
82 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$2K |
| 90688 |
|
148 |
142 |
$2K |
| 92551 |
|
172 |
168 |
$2K |
| 90686 |
|
82 |
82 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
498 |
450 |
$789.70 |
| 96127 |
|
84 |
83 |
$408.66 |
| 90633 |
|
12 |
12 |
$132.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
41 |
$103.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |