| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,571 |
3,854 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,724 |
1,521 |
$157K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
294 |
269 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
399 |
355 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
196 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
874 |
862 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
314 |
275 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
928 |
461 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
123 |
110 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
772 |
717 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
161 |
146 |
$8K |
| 90461 |
|
388 |
380 |
$8K |
| 99460 |
|
99 |
88 |
$7K |
| 87428 |
|
71 |
65 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
90 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
133 |
116 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 81002 |
|
437 |
294 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$345.76 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
62 |
$174.12 |
| 85018 |
|
46 |
43 |
$116.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$85.10 |
| 3074F |
|
65 |
55 |
$0.44 |
| 3078F |
|
12 |
12 |
$0.09 |
| 90670 |
|
69 |
69 |
$0.00 |
| 99072 |
|
17 |
16 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |