| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,989 |
7,616 |
$577K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,736 |
9,395 |
$440K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,450 |
901 |
$53K |
| 99000 |
|
746 |
584 |
$7K |
| 0002A |
|
214 |
147 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
431 |
$5K |
| 0001A |
|
228 |
128 |
$5K |
| 0071A |
|
98 |
98 |
$4K |
| 0072A |
|
99 |
99 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
433 |
304 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
346 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
157 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
117 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
47 |
31 |
$852.80 |
| 99243 |
|
32 |
25 |
$352.62 |
| 87807 |
|
12 |
12 |
$103.33 |
| 3074F |
|
8,705 |
7,728 |
$25.60 |
| 91307 |
|
209 |
193 |
$0.30 |
| 91300 |
|
482 |
269 |
$0.16 |
| 90661 |
|
113 |
113 |
$0.05 |
| 90686 |
|
786 |
548 |
$0.01 |
| 1126F |
|
10,636 |
9,633 |
$0.00 |
| 1125F |
|
459 |
304 |
$0.00 |
| 3078F |
|
8,331 |
7,401 |
$0.00 |
| 1159F |
|
8,560 |
8,249 |
$0.00 |
| 1100F |
|
234 |
227 |
$0.00 |
| 99242 |
|
22 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |