| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,799 |
3,209 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,541 |
2,182 |
$143K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
655 |
470 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
654 |
523 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
238 |
199 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
102 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
526 |
462 |
$834.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$781.69 |
| 0001A |
|
16 |
15 |
$541.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
55 |
$485.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
25 |
$291.11 |
| 86580 |
|
33 |
31 |
$193.95 |
| 90473 |
|
15 |
14 |
$140.00 |
| 90686 |
|
28 |
27 |
$97.62 |
| 87807 |
|
14 |
13 |
$82.53 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 99000 |
|
23 |
20 |
$0.00 |
| 90670 |
|
40 |
39 |
$0.00 |
| 99072 |
|
70 |
59 |
$0.00 |
| 90648 |
|
54 |
52 |
$0.00 |