| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,080 |
7,442 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
889 |
752 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
357 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
538 |
318 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
67 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,116 |
1,007 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
134 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
169 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
23 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
122 |
$1K |
| 99442 |
|
38 |
35 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
30 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
55 |
$907.78 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$648.34 |
| 87428 |
|
17 |
17 |
$579.15 |
| 90686 |
|
73 |
68 |
$566.82 |
| 99441 |
|
21 |
16 |
$340.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
40 |
$271.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$70.34 |
| 81025 |
|
12 |
12 |
$66.35 |
| 81003 |
|
126 |
117 |
$60.48 |