| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,185 |
7,889 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,920 |
2,645 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
626 |
549 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
112 |
96 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
314 |
223 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
189 |
$3K |
| 90686 |
|
193 |
188 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
24 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$641.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$539.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$443.56 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
228 |
181 |
$394.61 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$89.28 |
| 91300 |
|
16 |
14 |
$0.12 |
| 90461 |
|
12 |
12 |
$0.00 |