| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,456 |
1,716 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
630 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
112 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
72 |
67 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
88 |
$8K |
| 99000 |
|
271 |
197 |
$6K |
| 96127 |
|
138 |
135 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
45 |
$2K |
| 90734 |
|
40 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
39 |
$646.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
15 |
$355.42 |
| 90715 |
|
22 |
12 |
$253.96 |
| 90686 |
|
19 |
14 |
$250.53 |
| 80305 |
|
19 |
16 |
$158.25 |
| 81002 |
|
24 |
18 |
$57.90 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
79 |
$50.80 |
| 3008F |
|
1,758 |
1,210 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
17 |
$0.00 |
| 3074F |
|
264 |
186 |
$0.00 |