| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,114 |
3,484 |
$356K |
| 92587 |
|
885 |
880 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,330 |
1,122 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
175 |
161 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
219 |
194 |
$10K |
| 94010 |
|
188 |
188 |
$6K |
| 90686 |
|
464 |
455 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
252 |
$4K |
| 99408 |
|
414 |
410 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
417 |
414 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
769 |
746 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
72 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
208 |
$2K |
| 0071A |
|
42 |
40 |
$2K |
| 81003 |
|
604 |
602 |
$934.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
58 |
$809.88 |
| 99173 |
|
848 |
846 |
$608.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$467.43 |
| 99402 |
|
45 |
45 |
$438.14 |
| 87400 |
|
23 |
23 |
$170.27 |
| 91307 |
|
47 |
45 |
$0.00 |