| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
1,328 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
911 |
$61K |
| 36415 |
Collection of venous blood by venipuncture |
261 |
223 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
132 |
101 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
41 |
$477.45 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
26 |
$357.36 |
| 99173 |
|
123 |
83 |
$99.12 |
| 3008F |
|
596 |
464 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
73 |
$0.00 |
| 3079F |
|
146 |
112 |
$0.00 |
| 3074F |
|
428 |
335 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
12 |
$0.00 |
| 4010F |
|
23 |
16 |
$0.00 |
| 1159F |
|
3,011 |
2,067 |
$0.00 |
| 3078F |
|
319 |
253 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
316 |
120 |
$0.00 |
| 1160F |
|
2,026 |
1,379 |
$0.00 |
| 90670 |
|
16 |
12 |
$0.00 |
| 90461 |
|
67 |
40 |
$0.00 |