| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,198 |
5,685 |
$457K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,015 |
1,909 |
$222K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
506 |
480 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$10K |
| 81000 |
|
1,782 |
1,760 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
69 |
$7K |
| 90688 |
|
568 |
568 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
506 |
505 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
337 |
$2K |
| 92551 |
|
655 |
653 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,145 |
1,117 |
$680.91 |
| 0031A |
|
18 |
18 |
$663.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$375.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$188.13 |
| 90619 |
|
12 |
12 |
$175.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$56.21 |
| 91303 |
|
16 |
16 |
$0.00 |