| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,902 |
10,214 |
$511K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,193 |
1,125 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,066 |
1,823 |
$71K |
| 87428 |
|
746 |
668 |
$24K |
| 99215 |
Prolong outpt/office vis |
379 |
322 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
696 |
656 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
158 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
57 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
188 |
163 |
$4K |
| 99051 |
|
1,435 |
1,320 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,078 |
966 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
26 |
$1K |
| 81003 |
|
1,810 |
1,653 |
$973.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
138 |
$932.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
29 |
$761.33 |
| 81025 |
|
237 |
221 |
$417.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$131.74 |
| 0002A |
|
17 |
13 |
$110.72 |
| 0001A |
|
20 |
14 |
$66.06 |
| 80305 |
|
148 |
139 |
$9.03 |
| 94760 |
|
87 |
78 |
$2.40 |
| 99000 |
|
1,802 |
1,440 |
$0.00 |
| 96127 |
|
64 |
57 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 3079F |
|
35 |
26 |
$0.00 |
| 99173 |
|
462 |
405 |
$0.00 |
| 99072 |
|
622 |
488 |
$0.00 |