| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,408 |
1,276 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
481 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
362 |
336 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
387 |
$8K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
40 |
21 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
627 |
568 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
133 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
87 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
143 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
25 |
$2K |
| 92551 |
|
126 |
122 |
$969.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$937.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
31 |
$399.89 |
| 99173 |
|
127 |
123 |
$239.04 |
| 96160 |
|
46 |
41 |
$187.48 |
| 87807 |
|
13 |
13 |
$136.24 |
| 90686 |
|
16 |
15 |
$0.00 |