| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,623 |
6,762 |
$576K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,483 |
3,834 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,352 |
1,959 |
$166K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,200 |
3,007 |
$112K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,726 |
2,438 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,962 |
2,526 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
502 |
$25K |
| 87808 |
|
1,053 |
857 |
$16K |
| 81025 |
|
3,487 |
2,791 |
$14K |
| 99215 |
Prolong outpt/office vis |
185 |
135 |
$10K |
| 81002 |
|
3,565 |
2,877 |
$9K |
| 87905 |
|
834 |
673 |
$8K |
| 99000 |
|
736 |
589 |
$7K |
| 87807 |
|
436 |
394 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
108 |
104 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
65 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
204 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
94 |
$2K |
| 99384 |
|
19 |
19 |
$756.47 |
| 99383 |
|
14 |
14 |
$643.45 |
| 36415 |
Collection of venous blood by venipuncture |
1,059 |
909 |
$591.15 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$511.06 |
| 99459 |
|
21 |
18 |
$299.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
16 |
$242.15 |
| 94760 |
|
47 |
38 |
$27.72 |
| 99051 |
|
146 |
104 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
78 |
64 |
$0.00 |