| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,318 |
4,590 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
563 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
258 |
249 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
674 |
$9K |
| 99000 |
|
1,693 |
1,460 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
808 |
315 |
$6K |
| 81002 |
|
3,229 |
2,227 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
184 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
32 |
$2K |
| 99460 |
|
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$838.20 |
| 90686 |
|
147 |
146 |
$583.63 |
| 87807 |
|
53 |
50 |
$539.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
26 |
$447.06 |
| 90461 |
|
50 |
41 |
$344.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$278.79 |
| 82947 |
|
126 |
100 |
$11.01 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
321 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 90756 |
|
18 |
16 |
$0.00 |
| 1090F |
|
12 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |