| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,841 |
10,667 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,308 |
4,870 |
$194K |
| 90686 |
|
582 |
553 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
307 |
275 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
51 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90688 |
|
90 |
83 |
$1K |
| 90656 |
|
32 |
32 |
$663.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$529.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$440.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$411.99 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$400.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$291.90 |
| 99442 |
|
20 |
13 |
$282.84 |
| 36415 |
Collection of venous blood by venipuncture |
3,806 |
3,428 |
$190.58 |
| 87070 |
|
14 |
14 |
$164.08 |
| 85027 |
|
14 |
12 |
$57.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$31.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,814 |
1,692 |
$8.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
74 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |