| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
589 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
323 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
462 |
286 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
340 |
322 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
229 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
204 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
56 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
76 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 99385 |
|
12 |
12 |
$465.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
23 |
$209.70 |
| 90461 |
|
15 |
14 |
$105.56 |
| 81000 |
|
27 |
27 |
$63.35 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
123 |
$56.13 |
| 85018 |
|
26 |
26 |
$47.28 |
| 99051 |
|
100 |
87 |
$40.75 |
| 99441 |
|
24 |
23 |
$24.74 |
| 1159F |
|
12 |
12 |
$10.00 |
| 1160F |
|
13 |
13 |
$10.00 |
| 99173 |
|
18 |
18 |
$2.84 |
| 99000 |
|
15 |
15 |
$0.00 |
| 36416 |
|
24 |
24 |
$0.00 |