| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,999 |
8,217 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,405 |
3,166 |
$156K |
| 36415 |
Collection of venous blood by venipuncture |
2,373 |
2,228 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
51 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
540 |
518 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
441 |
434 |
$4K |
| 90686 |
|
198 |
198 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
59 |
$2K |
| 0012A |
|
15 |
15 |
$607.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
42 |
$602.79 |
| 90734 |
|
28 |
28 |
$594.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$569.52 |
| 0011A |
|
13 |
13 |
$523.20 |
| 90651 |
|
15 |
15 |
$498.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$370.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$226.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$80.57 |
| 91301 |
|
29 |
29 |
$0.00 |