| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,808 |
1,561 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,224 |
1,836 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
633 |
590 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,387 |
1,996 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
558 |
547 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
399 |
397 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
957 |
833 |
$6K |
| 99443 |
|
2,437 |
1,786 |
$2K |
| 99442 |
|
1,401 |
1,201 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
53 |
$1K |
| 99441 |
|
612 |
488 |
$1K |
| 87428 |
|
45 |
40 |
$1K |
| 99000 |
|
706 |
653 |
$815.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
151 |
$655.69 |
| 99215 |
Prolong outpt/office vis |
209 |
201 |
$523.65 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
41 |
41 |
$521.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
257 |
240 |
$451.89 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
44 |
$450.00 |
| 36415 |
Collection of venous blood by venipuncture |
782 |
744 |
$303.25 |
| A4267 |
Contraceptive supply, condom, male, each |
41 |
41 |
$300.19 |
| 94760 |
|
72 |
70 |
$274.59 |
| 99201 |
|
20 |
20 |
$206.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
67 |
$130.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
38 |
$101.87 |
| 93000 |
|
13 |
13 |
$49.72 |
| 96127 |
|
278 |
272 |
$29.86 |
| 81003 |
|
16 |
14 |
$24.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$0.00 |