| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,044 |
2,489 |
$128K |
| 99091 |
|
514 |
493 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
515 |
461 |
$23K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
115 |
103 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,013 |
455 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
153 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
512 |
453 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
145 |
$5K |
| 99385 |
|
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$746.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$91.70 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
49 |
$0.00 |
| 3117F |
|
29 |
24 |
$0.00 |