| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,275 |
8,924 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,302 |
4,718 |
$202K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
84 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
55 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
43 |
36 |
$4K |
| 99385 |
|
37 |
37 |
$3K |
| 87632 |
|
14 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
57 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
87 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$1K |
| 87799 |
|
40 |
36 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$997.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
83 |
$822.67 |
| 87641 |
|
43 |
36 |
$770.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
36 |
$722.13 |
| 87640 |
|
40 |
36 |
$440.92 |
| 87634 |
|
14 |
13 |
$384.33 |
| 90756 |
|
16 |
16 |
$374.67 |
| 87541 |
|
14 |
13 |
$301.40 |
| 87581 |
|
14 |
13 |
$301.40 |
| 87498 |
|
14 |
13 |
$301.40 |
| 87486 |
|
14 |
13 |
$301.40 |
| 87652 |
|
12 |
12 |
$259.98 |
| 87512 |
|
12 |
12 |
$259.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$237.82 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$222.73 |
| 87500 |
|
12 |
12 |
$218.48 |
| 82962 |
|
108 |
101 |
$195.81 |
| 81002 |
|
101 |
89 |
$192.24 |
| 87481 |
|
12 |
12 |
$138.20 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
39 |
$89.04 |
| 93000 |
|
12 |
12 |
$79.47 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$52.64 |
| 81003 |
|
32 |
31 |
$49.44 |
| 87653 |
|
12 |
12 |
$27.64 |
| 94760 |
|
160 |
151 |
$22.91 |