| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,452 |
6,922 |
$729K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,941 |
2,950 |
$185K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
732 |
289 |
$101K |
| 96160 |
|
2,089 |
1,661 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
592 |
492 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
159 |
146 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
327 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
160 |
142 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
552 |
460 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
62 |
$6K |
| 99173 |
|
468 |
379 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
104 |
93 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
13 |
$1K |
| 92552 |
|
91 |
58 |
$1K |
| 36416 |
|
363 |
267 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
70 |
$1K |
| 81002 |
|
360 |
280 |
$897.00 |
| 85018 |
|
408 |
289 |
$842.16 |
| 92550 |
|
59 |
55 |
$827.29 |
| 90686 |
|
57 |
38 |
$636.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$347.76 |
| 92587 |
|
19 |
19 |
$251.75 |
| 97803 |
|
31 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |