| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,266 |
4,465 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,120 |
1,865 |
$93K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
340 |
301 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,413 |
3,203 |
$8K |
| 87071 |
|
479 |
466 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
200 |
194 |
$2K |
| 99496 |
|
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$2K |
| 81003 |
|
841 |
818 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$789.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$670.86 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$540.00 |
| 99383 |
|
13 |
13 |
$518.70 |
| 90686 |
|
29 |
29 |
$304.25 |
| 90461 |
|
26 |
24 |
$220.01 |
| 81025 |
|
58 |
55 |
$188.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$186.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
22 |
$177.62 |
| 81002 |
|
57 |
55 |
$44.78 |
| 99000 |
|
2,067 |
1,973 |
$7.14 |
| 87252 |
|
15 |
15 |
$0.00 |