| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,234 |
5,473 |
$384K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
436 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
378 |
$17K |
| 90686 |
|
215 |
209 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
559 |
494 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
17 |
$581.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
75 |
68 |
$364.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$249.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
15 |
$141.45 |
| 90688 |
|
13 |
13 |
$71.32 |
| 3078F |
|
1,324 |
1,173 |
$3.70 |
| 3074F |
|
1,378 |
1,210 |
$2.85 |
| 3079F |
|
160 |
141 |
$0.39 |
| 3075F |
|
74 |
66 |
$0.05 |
| 3077F |
|
13 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 1036F |
|
371 |
332 |
$0.00 |
| 1000F |
|
680 |
600 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
38 |
$0.00 |