| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,242 |
$86K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
159 |
157 |
$9K |
| 90688 |
|
629 |
620 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,473 |
1,459 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
59 |
$6K |
| 90686 |
|
197 |
197 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
91 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
14 |
$2K |
| 83655 |
|
50 |
50 |
$863.78 |
| 90651 |
|
30 |
30 |
$573.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$519.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
311 |
306 |
$383.72 |
| 0002A |
|
12 |
12 |
$280.07 |
| 90715 |
|
15 |
15 |
$256.55 |
| 91300 |
|
22 |
17 |
$240.06 |
| 81025 |
|
14 |
13 |
$198.88 |
| 90670 |
|
38 |
38 |
$116.16 |
| 90734 |
|
16 |
16 |
$26.13 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$11.96 |
| 99051 |
|
26 |
26 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |