| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,954 |
10,342 |
$703K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,715 |
4,283 |
$361K |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,406 |
16,653 |
$189K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
260 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,050 |
1,624 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
40 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
141 |
$2K |
| 59426 |
|
26 |
12 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
45 |
$1K |
| 81003 |
|
959 |
565 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
71 |
$792.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
47 |
$658.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
55 |
$436.54 |
| 90686 |
|
42 |
30 |
$399.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
12 |
$127.25 |
| 90656 |
|
13 |
13 |
$119.58 |
| 3008F |
|
192 |
172 |
$0.00 |
| 3074F |
|
40 |
39 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 1160F |
|
267 |
248 |
$0.00 |
| 1159F |
|
307 |
284 |
$0.00 |