| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,053 |
5,189 |
$403K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,014 |
1,146 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,244 |
1,100 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
416 |
382 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
84 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
151 |
$6K |
| 99215 |
Prolong outpt/office vis |
70 |
59 |
$5K |
| 81002 |
|
1,788 |
1,392 |
$4K |
| 87807 |
|
168 |
142 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99173 |
|
359 |
290 |
$1K |
| 93000 |
|
78 |
74 |
$1K |
| 92551 |
|
354 |
274 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
12 |
$770.00 |
| 92552 |
|
46 |
39 |
$505.23 |
| 94010 |
|
19 |
19 |
$336.00 |
| 92081 |
|
12 |
12 |
$290.28 |
| 90756 |
|
14 |
12 |
$239.94 |
| 85018 |
|
541 |
449 |
$211.66 |
| 90715 |
|
19 |
13 |
$104.00 |
| 90658 |
|
12 |
12 |
$96.00 |
| 86308 |
|
33 |
15 |
$87.84 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
39 |
$85.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$50.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,069 |
840 |
$0.00 |
| 99406 |
|
362 |
280 |
$0.00 |
| 99407 |
|
167 |
131 |
$0.00 |