| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,023 |
3,911 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,489 |
1,440 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
272 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
86 |
80 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
83 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
102 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$679.60 |
| 96127 |
|
105 |
104 |
$407.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$209.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$174.02 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$50.73 |