| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,385 |
12,563 |
$799K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,241 |
1,239 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
412 |
393 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
243 |
243 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
435 |
383 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
926 |
896 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
259 |
254 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
87 |
$2K |
| 96127 |
|
695 |
681 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$1K |
| 81002 |
|
370 |
350 |
$947.74 |
| 93000 |
|
72 |
72 |
$533.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$231.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$154.14 |
| 3074F |
|
81 |
79 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |
| 3079F |
|
57 |
55 |
$0.00 |
| 3077F |
|
75 |
73 |
$0.00 |
| 3078F |
|
112 |
111 |
$0.00 |