| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,324 |
3,918 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,677 |
1,550 |
$135K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
515 |
474 |
$7K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 90677 |
|
13 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
477 |
443 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
84 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
156 |
$987.50 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$867.51 |
| 87428 |
|
32 |
28 |
$803.04 |
| 81003 |
|
707 |
662 |
$628.74 |
| 80305 |
|
218 |
196 |
$239.80 |
| 90686 |
|
61 |
59 |
$129.59 |
| 85018 |
|
195 |
185 |
$111.18 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
133 |
$103.57 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$0.00 |