| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,441 |
2,226 |
$317K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,661 |
2,347 |
$245K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
195 |
189 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
713 |
694 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
221 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
200 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
23 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
78 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$271.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$173.46 |
| 3074F |
|
131 |
113 |
$0.00 |
| 96160 |
|
241 |
240 |
$0.00 |
| 3078F |
|
116 |
101 |
$0.00 |