| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,121 |
7,719 |
$451K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,301 |
5,650 |
$230K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,895 |
1,779 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
402 |
385 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
237 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
682 |
622 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,207 |
2,963 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
385 |
345 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
571 |
$4K |
| 90686 |
|
178 |
176 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
29 |
$3K |
| 81002 |
|
645 |
574 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
51 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
117 |
$566.31 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$373.92 |
| 90658 |
|
12 |
12 |
$134.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$65.61 |
| 99487 |
Ccm add 20min |
54 |
54 |
$17.22 |
| 90688 |
|
16 |
15 |
$1.00 |