| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,259 |
2,915 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
932 |
891 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
442 |
442 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
348 |
335 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
264 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
166 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
99 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190 |
186 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
484 |
470 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90688 |
|
12 |
12 |
$142.72 |
| 96160 |
|
33 |
33 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |