| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,109 |
1,710 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
460 |
$18K |
| 94010 |
|
490 |
407 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
260 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
66 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
281 |
245 |
$3K |
| 99000 |
|
219 |
172 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
250 |
90 |
$1K |
| 92567 |
|
142 |
113 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$901.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
30 |
$537.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
43 |
$430.82 |
| 90461 |
|
68 |
46 |
$343.18 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
13 |
$199.42 |
| 80305 |
|
12 |
12 |
$97.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.82 |
| 99173 |
|
173 |
140 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
123 |
$0.00 |
| 99172 |
|
18 |
15 |
$0.00 |