| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,891 |
10,299 |
$745K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,343 |
6,192 |
$680K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,670 |
2,670 |
$247K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,889 |
5,789 |
$240K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
895 |
895 |
$131K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,104 |
3,076 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,477 |
4,440 |
$65K |
| 99215 |
Prolong outpt/office vis |
110 |
109 |
$17K |
| 81025 |
|
954 |
939 |
$7K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$6K |
| 87807 |
|
164 |
160 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$914.90 |
| 0002A |
|
21 |
21 |
$840.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
36 |
$697.56 |
| 0001A |
|
17 |
17 |
$558.88 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
186 |
$497.52 |
| 99441 |
|
14 |
13 |
$167.08 |
| 90686 |
|
13 |
13 |
$0.00 |