| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,635 |
2,172 |
$91K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
268 |
264 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,147 |
1,007 |
$58K |
| 86769 |
|
1,043 |
918 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
445 |
439 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
320 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
864 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,359 |
1,198 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
318 |
$18K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
46 |
46 |
$17K |
| 86328 |
|
252 |
230 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,267 |
746 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
195 |
$8K |
| 95117 |
|
1,068 |
352 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
258 |
256 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
769 |
334 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
71 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
71 |
$2K |
| 0002A |
|
29 |
29 |
$1K |
| 86318 |
|
717 |
628 |
$946.41 |
| 0001A |
|
22 |
22 |
$840.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$735.03 |
| 81002 |
|
111 |
107 |
$210.24 |
| 99072 |
|
79 |
76 |
$75.30 |
| 90686 |
|
159 |
157 |
$0.00 |
| 95125 |
|
33 |
26 |
$0.00 |
| 90715 |
|
31 |
28 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 90734 |
|
81 |
75 |
$0.00 |
| 90685 |
|
157 |
157 |
$0.00 |
| 91300 |
|
93 |
87 |
$0.00 |
| 90649 |
|
28 |
25 |
$0.00 |