| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,470 |
889 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
614 |
383 |
$24K |
| 99199 |
Unlisted special service, procedure or report |
1,883 |
1,781 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
275 |
181 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
85 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
24 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
94 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
46 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
385 |
276 |
$505.06 |
| 90686 |
|
58 |
29 |
$295.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$162.20 |