| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,756 |
3,161 |
$352K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
872 |
747 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
244 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
234 |
214 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
52 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
62 |
$2K |
| 92551 |
|
165 |
164 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
268 |
256 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$531.86 |
| 99173 |
|
83 |
83 |
$209.22 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
205 |
196 |
$159.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$143.16 |
| 87807 |
|
14 |
13 |
$127.50 |