| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,579 |
2,419 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,007 |
1,934 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
236 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
179 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
289 |
275 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
526 |
521 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
150 |
150 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
640 |
636 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
382 |
374 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
87 |
85 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
39 |
37 |
$3K |
| 99442 |
|
28 |
27 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
47 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
217 |
207 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
32 |
$1K |
| 87807 |
|
17 |
16 |
$198.05 |
| 80305 |
|
15 |
15 |
$168.15 |
| 96160 |
|
151 |
151 |
$0.23 |
| 2000F |
|
751 |
663 |
$0.00 |
| 2001F |
|
350 |
328 |
$0.00 |
| 2010F |
|
1,310 |
1,181 |
$0.00 |
| 3074F |
|
125 |
117 |
$0.00 |
| 1030F |
|
49 |
49 |
$0.00 |
| 3078F |
|
128 |
120 |
$0.00 |