| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,692 |
2,270 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
1,236 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
209 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
172 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
234 |
203 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
216 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
407 |
377 |
$6K |
| 0072A |
|
71 |
68 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
191 |
173 |
$3K |
| 0071A |
|
64 |
64 |
$3K |
| 90674 |
|
43 |
32 |
$560.08 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
129 |
$283.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$231.84 |
| 99173 |
|
29 |
25 |
$216.05 |
| 99401 |
|
12 |
12 |
$180.00 |
| 87070 |
|
41 |
35 |
$173.60 |
| 91307 |
|
126 |
108 |
$0.09 |
| 91300 |
|
17 |
16 |
$0.00 |