| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,678 |
1,452 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,895 |
1,506 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
90 |
$7K |
| 93000 |
|
456 |
436 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
57 |
55 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
885 |
795 |
$1K |
| 99385 |
|
12 |
12 |
$833.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$759.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$684.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
29 |
$333.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$240.88 |
| 96127 |
|
26 |
26 |
$113.57 |
| 82962 |
|
302 |
262 |
$73.92 |
| 87400 |
|
16 |
13 |
$43.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
16 |
$10.62 |