| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,411 |
4,647 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,089 |
$43K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
289 |
218 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,031 |
905 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
123 |
$3K |
| 90688 |
|
232 |
215 |
$2K |
| 90686 |
|
224 |
173 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
106 |
$1K |
| 3008F |
|
1,722 |
1,477 |
$780.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
65 |
$581.79 |
| 90674 |
|
15 |
13 |
$298.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$283.98 |
| 3074F |
|
1,086 |
927 |
$250.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
13 |
12 |
$215.60 |
| 3078F |
|
964 |
812 |
$150.00 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
117 |
$104.67 |
| 3079F |
|
309 |
271 |
$100.00 |
| 92551 |
|
12 |
12 |
$74.91 |
| 99177 |
|
13 |
13 |
$64.01 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
19 |
$40.47 |
| 81002 |
|
15 |
14 |
$22.05 |
| 3075F |
|
128 |
103 |
$20.00 |
| 0011A |
|
21 |
21 |
$16.94 |
| 0502F |
|
50 |
25 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
31 |
$0.00 |
| 91301 |
|
32 |
29 |
$0.00 |
| 0012A |
|
26 |
26 |
$0.00 |