| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,417 |
3,795 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,596 |
1,390 |
$71K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
511 |
481 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
554 |
521 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,167 |
1,848 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
272 |
$3K |
| 96160 |
|
164 |
145 |
$3K |
| 96127 |
|
562 |
487 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 81003 |
|
604 |
538 |
$869.91 |
| 92552 |
|
49 |
43 |
$726.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
13 |
$545.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
33 |
$462.20 |
| 90688 |
|
40 |
39 |
$431.89 |
| 99173 |
|
61 |
56 |
$366.22 |