| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,786 |
6,564 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,802 |
2,560 |
$266K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
214 |
59 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
318 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
282 |
277 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
96 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
64 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
52 |
52 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
330 |
325 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
127 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$825.30 |
| 90461 |
|
13 |
13 |
$772.76 |
| 90658 |
|
19 |
19 |
$187.56 |