| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,327 |
5,706 |
$389K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,519 |
7,549 |
$274K |
| 87428 |
|
457 |
439 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
413 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
513 |
486 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
402 |
342 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
332 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
108 |
$6K |
| 90686 |
|
470 |
442 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
147 |
$3K |
| 90648 |
|
246 |
222 |
$3K |
| 90670 |
|
230 |
210 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$773.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
64 |
$764.55 |
| 90688 |
|
51 |
47 |
$762.02 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
14 |
$579.32 |
| 90723 |
|
59 |
55 |
$572.34 |
| 90651 |
|
14 |
13 |
$170.82 |
| 90633 |
|
14 |
14 |
$133.84 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$69.00 |