| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
271 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
56 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
88 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
45 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$880.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$398.78 |
| 99408 |
|
62 |
51 |
$355.81 |
| 96127 |
|
76 |
66 |
$252.56 |
| 92551 |
|
12 |
12 |
$81.42 |
| 86803 |
|
20 |
17 |
$69.05 |
| 85018 |
|
40 |
40 |
$49.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
15 |
$42.79 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
36 |
$31.41 |
| 99173 |
|
12 |
12 |
$18.98 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
21 |
18 |
$10.51 |
| 36416 |
|
60 |
59 |
$4.51 |
| 3008F |
|
65 |
65 |
$0.00 |