| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,198 |
4,533 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
570 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
193 |
179 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
369 |
344 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
338 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
228 |
209 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
580 |
546 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
277 |
244 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 86328 |
|
33 |
31 |
$795.30 |
| 99458 |
|
85 |
68 |
$634.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$488.53 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
104 |
$440.01 |
| 96127 |
|
157 |
146 |
$413.20 |
| 93000 |
|
17 |
15 |
$246.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$93.92 |
| 99406 |
|
15 |
13 |
$87.94 |
| 81003 |
|
17 |
13 |
$10.80 |
| 99072 |
|
1,535 |
1,293 |
$2.81 |
| 1126F |
|
344 |
316 |
$0.99 |
| 1125F |
|
227 |
206 |
$0.71 |
| 3074F |
|
16 |
13 |
$0.05 |
| 1160F |
|
707 |
657 |
$0.04 |
| 1159F |
|
707 |
656 |
$0.04 |
| 888888 |
|
77 |
72 |
$0.00 |