| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
879 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
858 |
791 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
207 |
193 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
75 |
$6K |
| 96127 |
|
688 |
649 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
402 |
187 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$4K |
| 92552 |
|
162 |
161 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
183 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
848 |
797 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
16 |
$1K |
| 99173 |
|
178 |
177 |
$914.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$884.88 |
| 96160 |
|
12 |
12 |
$231.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$144.00 |
| 81003 |
|
27 |
24 |
$38.71 |
| 3079F |
|
13 |
13 |
$30.00 |
| 3008F |
|
1,280 |
1,190 |
$0.00 |
| 1159F |
|
87 |
85 |
$0.00 |