| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,788 |
3,822 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,927 |
1,616 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,045 |
632 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
658 |
557 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
81 |
$5K |
| 81002 |
|
2,055 |
1,603 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
91 |
71 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
49 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
27 |
$3K |
| 99460 |
|
56 |
46 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
87 |
69 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
16 |
$1K |
| 99462 |
|
49 |
30 |
$1K |
| 92551 |
|
326 |
213 |
$1K |
| 99173 |
|
360 |
239 |
$1K |
| 92081 |
|
31 |
27 |
$705.28 |
| 87807 |
|
63 |
58 |
$627.36 |
| 93000 |
|
27 |
24 |
$384.47 |
| 94010 |
|
14 |
12 |
$264.00 |
| 90670 |
|
30 |
28 |
$224.00 |
| 90756 |
|
40 |
14 |
$213.28 |
| 92552 |
|
18 |
16 |
$196.69 |
| 85018 |
|
577 |
424 |
$194.50 |
| 90698 |
|
14 |
14 |
$112.00 |
| 90674 |
|
12 |
12 |
$96.00 |
| 90744 |
|
13 |
12 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
14 |
$24.00 |
| 90461 |
|
16 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
20 |
$0.00 |