| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,268 |
4,567 |
$549K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,151 |
1,984 |
$157K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
507 |
454 |
$22K |
| 87428 |
|
369 |
353 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
134 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
384 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
414 |
404 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87400 |
|
98 |
91 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$642.72 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
78 |
$508.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$279.52 |
| 87430 |
|
13 |
13 |
$194.35 |