| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,055 |
3,548 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,009 |
2,056 |
$189K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,337 |
1,845 |
$61K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,036 |
1,720 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
300 |
$27K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
310 |
205 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
562 |
369 |
$23K |
| 87210 |
|
2,728 |
1,833 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
134 |
126 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
728 |
516 |
$7K |
| 86703 |
|
631 |
487 |
$7K |
| 81025 |
|
924 |
613 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
102 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
257 |
167 |
$3K |
| 86592 |
|
724 |
549 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
107 |
$2K |
| 81003 |
|
946 |
657 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
183 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
44 |
$1K |
| 81000 |
|
363 |
236 |
$901.44 |
| 90715 |
|
29 |
27 |
$628.93 |
| 36415 |
Collection of venous blood by venipuncture |
277 |
231 |
$505.22 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19 |
13 |
$355.32 |
| 86308 |
|
38 |
30 |
$176.26 |
| 80053 |
Comprehensive metabolic panel |
18 |
12 |
$115.90 |