| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,446 |
7,566 |
$363K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,110 |
1,021 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,586 |
1,441 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,719 |
2,082 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,354 |
2,074 |
$26K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
63 |
63 |
$25K |
| 99000 |
|
1,374 |
1,150 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
232 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
475 |
363 |
$4K |
| 95816 |
|
14 |
13 |
$3K |
| 87807 |
|
302 |
283 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
39 |
$2K |
| 93892 |
|
13 |
12 |
$2K |
| 93890 |
|
13 |
12 |
$2K |
| 93886 |
|
13 |
12 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
753 |
606 |
$965.60 |
| 81025 |
|
150 |
138 |
$952.96 |
| 96132 |
|
13 |
13 |
$939.68 |
| 95957 |
|
13 |
13 |
$703.67 |
| 92653 |
|
14 |
13 |
$687.25 |
| 86328 |
|
22 |
21 |
$577.64 |
| 95930 |
|
14 |
13 |
$487.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
55 |
$398.26 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
220 |
193 |
$260.94 |
| 90686 |
|
40 |
35 |
$202.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
12 |
$145.82 |
| 96139 |
|
13 |
13 |
$0.00 |
| 96138 |
|
13 |
13 |
$0.00 |