| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,423 |
2,327 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
542 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
124 |
$11K |
| 93922 |
|
125 |
125 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
61 |
59 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
188 |
$5K |
| 87634 |
|
58 |
56 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
220 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
71 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
123 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
38 |
$1K |
| 80305 |
|
46 |
46 |
$515.42 |
| 99050 |
|
26 |
26 |
$449.02 |
| 92567 |
|
35 |
35 |
$414.75 |
| 81025 |
|
57 |
53 |
$404.71 |
| 92551 |
|
34 |
34 |
$311.78 |
| 99173 |
|
101 |
101 |
$244.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$242.73 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
82 |
$201.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,890 |
1,810 |
$0.00 |
| 90658 |
|
65 |
65 |
$0.00 |