| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,284 |
2,043 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,156 |
1,094 |
$52K |
| 99442 |
|
1,142 |
1,013 |
$40K |
| 92552 |
|
315 |
315 |
$8K |
| 99441 |
|
230 |
218 |
$5K |
| 93000 |
|
396 |
394 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$999.80 |
| 96160 |
|
31 |
31 |
$775.00 |
| 94010 |
|
24 |
24 |
$668.53 |
| 90674 |
|
19 |
19 |
$513.25 |
| 81002 |
|
133 |
131 |
$275.54 |
| 81003 |
|
92 |
92 |
$170.59 |
| 3074F |
|
114 |
113 |
$157.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$145.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$128.73 |
| 99173 |
|
42 |
42 |
$118.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$104.88 |
| 96127 |
|
22 |
22 |
$80.65 |
| 3078F |
|
44 |
44 |
$77.50 |
| 3079F |
|
38 |
38 |
$7.50 |
| 82947 |
|
14 |
13 |
$7.08 |
| 99429 |
|
376 |
256 |
$0.00 |