| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,377 |
3,954 |
$180K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,529 |
1,661 |
$98K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,429 |
1,167 |
$67K |
| S8301 |
Infection control supplies, not otherwise specified |
4,597 |
3,326 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,261 |
1,010 |
$40K |
| 99444 |
|
370 |
90 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
235 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
976 |
439 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
738 |
678 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
265 |
223 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
81 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$1K |
| 95923 |
|
14 |
13 |
$88.80 |
| 99051 |
|
14 |
13 |
$14.94 |
| G0008 |
Administration of influenza virus vaccine |
17 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
68 |
$0.00 |