| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,110 |
1,781 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,524 |
1,496 |
$31K |
| 99460 |
|
656 |
653 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
669 |
667 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
336 |
336 |
$22K |
| 99462 |
|
684 |
558 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
169 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
121 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
286 |
275 |
$7K |
| 90461 |
|
139 |
138 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
190 |
181 |
$700.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$429.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
34 |
$146.46 |
| 99050 |
|
12 |
12 |
$103.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$52.50 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$15.00 |
| 90698 |
|
49 |
49 |
$0.00 |
| 99000 |
|
57 |
53 |
$0.00 |
| 90686 |
|
86 |
86 |
$0.00 |
| 87070 |
|
13 |
13 |
$0.00 |
| 90647 |
|
23 |
23 |
$0.00 |
| 90680 |
|
45 |
45 |
$0.00 |
| 90744 |
|
31 |
31 |
$0.00 |
| 87184 |
|
13 |
13 |
$0.00 |
| 90710 |
|
34 |
34 |
$0.00 |
| 99080 |
|
672 |
211 |
$0.00 |
| 99072 |
|
150 |
146 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |
| 90670 |
|
67 |
66 |
$0.00 |