| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,067 |
1,796 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,230 |
1,038 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,034 |
888 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
544 |
456 |
$47K |
| 99215 |
Prolong outpt/office vis |
119 |
104 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
322 |
244 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
121 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
942 |
528 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
592 |
337 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
85 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
38 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
85 |
$3K |
| 96127 |
|
771 |
474 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
51 |
$2K |
| 90461 |
|
63 |
45 |
$1K |
| 96160 |
|
818 |
500 |
$1K |
| 99384 |
|
16 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
78 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
158 |
131 |
$940.54 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
23 |
$900.64 |
| 99000 |
|
436 |
390 |
$710.10 |
| 87400 |
|
102 |
83 |
$683.88 |
| 92551 |
|
152 |
117 |
$666.36 |
| 87420 |
|
71 |
53 |
$574.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$532.90 |
| 99173 |
|
283 |
244 |
$345.34 |
| 0001A |
|
39 |
14 |
$291.76 |
| 90734 |
|
29 |
17 |
$200.90 |
| 90715 |
|
25 |
16 |
$131.37 |
| 90674 |
|
35 |
17 |
$40.00 |
| 96161 |
|
32 |
12 |
$38.78 |
| 90710 |
|
35 |
26 |
$10.00 |
| 99070 |
|
25 |
12 |
$0.00 |
| 90671 |
|
17 |
12 |
$0.00 |
| S9083 |
Global fee urgent care centers |
48 |
42 |
$0.00 |
| 91300 |
|
44 |
15 |
$0.00 |
| 90633 |
|
97 |
55 |
$0.00 |