| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,046 |
5,419 |
$827K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,099 |
6,118 |
$637K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,032 |
3,589 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
520 |
484 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,031 |
937 |
$46K |
| 99051 |
|
5,018 |
4,689 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
202 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,277 |
577 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
483 |
441 |
$5K |
| 99384 |
|
53 |
32 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
189 |
170 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
45 |
45 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
20 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
326 |
312 |
$984.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
81 |
$974.27 |
| 86580 |
|
79 |
70 |
$463.24 |
| 36416 |
|
81 |
50 |
$161.66 |
| 81003 |
|
27 |
26 |
$2.14 |
| 99000 |
|
6,186 |
5,525 |
$0.00 |
| 85018 |
|
186 |
134 |
$0.00 |