| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,036 |
4,557 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,123 |
1,070 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,300 |
1,230 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,117 |
2,102 |
$21K |
| 92587 |
|
351 |
351 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
111 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
580 |
334 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
396 |
378 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,215 |
1,161 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
81 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 81002 |
|
805 |
797 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$456.26 |
| 99177 |
|
889 |
888 |
$288.95 |
| 90686 |
|
331 |
330 |
$236.46 |
| 90461 |
|
171 |
171 |
$62.78 |
| 90656 |
|
35 |
35 |
$23.53 |
| 99072 |
|
1,609 |
1,457 |
$16.80 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
55 |
$3.60 |