| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,850 |
5,123 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,399 |
3,940 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
353 |
336 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
896 |
425 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
92 |
$5K |
| 87428 |
|
39 |
38 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
25 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
62 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 90674 |
|
65 |
42 |
$642.32 |
| 90756 |
|
90 |
60 |
$486.70 |
| 90661 |
|
13 |
12 |
$341.15 |
| 96127 |
|
58 |
58 |
$204.58 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$185.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$154.44 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
14 |
12 |
$19.20 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$9.00 |
| 99056 |
|
612 |
536 |
$0.00 |