| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,151 |
3,149 |
$163K |
| 99091 |
|
312 |
301 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
413 |
386 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
843 |
$28K |
| 99423 |
|
296 |
89 |
$11K |
| 99000 |
|
595 |
529 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
53 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
218 |
$3K |
| 99442 |
|
84 |
75 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
44 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
18 |
16 |
$2K |
| 90756 |
|
85 |
75 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$1K |
| 92551 |
|
322 |
277 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
98 |
$970.93 |
| 81002 |
|
608 |
514 |
$949.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
48 |
$861.80 |
| 97802 |
|
254 |
194 |
$612.37 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$461.97 |
| 90661 |
|
14 |
14 |
$365.40 |
| 80305 |
|
35 |
29 |
$197.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$111.12 |
| 93000 |
|
14 |
13 |
$106.79 |
| 94760 |
|
76 |
49 |
$36.51 |
| 99173 |
|
259 |
216 |
$0.00 |
| 96127 |
|
263 |
220 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
178 |
$0.00 |
| 90694 |
|
23 |
22 |
$0.00 |