| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,355 |
2,000 |
$1.29M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
679 |
519 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
261 |
$209K |
| 99215 |
Prolong outpt/office vis |
74 |
56 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
469 |
307 |
$64K |
| 0011A |
|
78 |
74 |
$49K |
| 0012A |
|
57 |
52 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
360 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
76 |
$21K |
| 0001A |
|
17 |
17 |
$13K |
| 0002A |
|
12 |
12 |
$10K |
| 85018 |
|
12 |
12 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
142 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$3K |
| 92015 |
Determination of refractive state |
75 |
71 |
$3K |
| 0013A |
|
14 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
15 |
$2K |
| 91301 |
|
178 |
167 |
$0.00 |
| 90686 |
|
32 |
26 |
$0.00 |
| 91300 |
|
32 |
32 |
$0.00 |