| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,959 |
3,563 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,428 |
2,183 |
$242K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
619 |
619 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
301 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
95 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
216 |
200 |
$10K |
| 99385 |
|
52 |
52 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
165 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
384 |
377 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$978.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$539.37 |
| 80305 |
|
34 |
34 |
$381.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
14 |
$250.24 |
| 90651 |
|
16 |
16 |
$0.00 |
| 2010F |
|
24 |
24 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |